IndividualActive
Lakesha Wilson, DENTAL HYGIENIST
NPI 1619034824 · Dental Hygienist · Bossier, LA
Provider details
- NPI number
- 1619034824
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- DENTAL HYGIENIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3499 (LA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1067 Twinning Dr.
Bossier, LA 71110
Phone: (318) 456-4018
Approximate (ZIP-level) locationGet directions
Mailing address
1067 Twinning Dr.
Bossier, LA 71110
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2008-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.