Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeata Johnson, LICENSEDCOSMETOLOGI

Individual provider Prosthetic/Orthotic Supplier · NPI 1699331934

Lakeata Johnson, LICENSEDCOSMETOLOGI is a Prosthetic/Orthotic Supplier in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

2070 Ayrsley Town Blvd Unit A
Charlotte, NC 28273-4056
Phone: (980) 228-6653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence C77340 (NC)

Record details

NPI number1699331934
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDCOSMETOLOGI
Sole proprietorYes
NPI enumeratedMay 13, 2019
Last updated in NPPESMay 13, 2019

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