LAKETA MCCORMICK

Adult Companion

Active Individual
NPI: 1417734757

Practice Address

7 WINCHESTER RD
Kingstree, SC 29556

Phone: (803) 977-4652

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1417734757 is the National Provider Identifier for LAKETA MCCORMICK, a Adult Companion provider located in Kingstree, SC. This NPI was enumerated on September 11, 2023.
LAKETA MCCORMICK practices at 7 WINCHESTER RD, Kingstree, SC 29556.

Quick Facts

NPI
1417734757
Type
Individual
Enumerated
Sep 11, 2023
Last Updated
Sep 11, 2023

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