Provider Information for 1780177741
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LANESHA RENEE CREEKS LPC
Sex: Female
NPI: 1780177741
Last Updated: 2018-06-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1780177741 | ||||||||
| Enumeration Date | 2018-06-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7706 LOS GATOS DR DALLAS, TX 75232-4115 United States Phone: 214-727-7144 | Fax: | ||||||||
| Primary Practice Address | 7706 LOS GATOS DR DALLAS, TX 75232-4115 United States Phone: 214-727-7144 | Fax: | ||||||||
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