Provider Demographics
NPI:1447871249
Name:HOVEY, LAKEESHA (LPN)
Entity type:Individual
Prefix:MRS
First Name:LAKEESHA
Middle Name:
Last Name:HOVEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 BAUMGARTNER RD
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-6918
Mailing Address - Country:US
Mailing Address - Phone:865-789-4253
Mailing Address - Fax:865-882-0673
Practice Address - Street 1:700 BAUMGARTNER RD
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-6918
Practice Address - Country:US
Practice Address - Phone:865-789-4253
Practice Address - Fax:865-882-0673
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-03
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000061954164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse