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Lakisha Grady
Technician/Technologist in Fort Wayne, Indiana
NPI 1114797313

Lakisha Grady is a Technician/Technologist based in Fort Wayne, IN. Lakisha Grady practices in Fort Wayne, IN. The NPI Number for Lakisha Grady is 1114797313 and holds a License No. (Indiana).

The current practice location address for Lakisha Grady is 2213 Drexel Ave, Fort Wayne, IN and can be reached out via phone at 260-715-5312.

Location: 2213 Drexel Ave, Fort Wayne, IN, 46806-1382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114797313
Provider Name
Lakisha Grady
Credential
Provider Entity Type
Individual
Gender
Female
Address
2213 Drexel Ave, Fort Wayne, IN, 46806-1382
Phone Number
260-715-5312
Fax Number
Provider Enumeration Date
01/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2213 Drexel Ave
City
Fort Wayne
State
Indiana
Zip
46806-1382
Phone Number
260-715-5312
Fax Number
person
Provider Business Mailing Address Details
Address
2213 Drexel Ave
City
Fort Wayne
State
Indiana
Zip
46806-1382
Phone Number
260-715-5312
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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