Grady, Lakisha
Grady, Lakisha is an individual health care provider with primary practice located at 2213 Drexel Ave , Fort Wayne IN 46806-1382. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Grady, Lakisha can be contacted via phone (260) 715-5312.Contact Information
Primary practice address
2213 Drexel Ave
Fort Wayne IN 46806-1382
Phone: (260) 715-5312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X |
Profile Details
| NPI number | 1114797313 |
|---|---|
| LBN Legal business name | Grady, Lakisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2024 |
| Last updated | Jan 28th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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