Lakesha Stidum's National Provider Identifier (NPI) Details
Lakesha Stidum,
NPI: 1891107660
Enumeration Date: 2014-05-28
Last updated: 2022-11-11
Sole Proprietor: NO
Status: active
Postal Address: 3964 WATERCOURSE DR APT 1458, FORT WORTH, TX
Phone: 870-270-7975
Primary Practice Address: 101 NEW YORK AVE, FORT WORTH, TX
Practice's phone: 870-270-7975