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Lakeisha Colter, PA-C
Medical Physician Assistant in Phoenix, Arizona
NPI 1174935100

Lakeisha Colter is a Medical Physician Assistant based in Phoenix, AZ and is specialized in Medical. Lakeisha Colter practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Lakeisha Colter is 1174935100 and holds a License No. 5716 (Arizona).

The current practice location address for Lakeisha Colter is 1108 W Indian School Rd, Phoenix, AZ and can be reached out via phone at 602-773-5600 and via fax at 602-773-5600.

Location: 1108 W Indian School Rd, Phoenix, AZ, 85013-3107
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Provider Profile Details
NPI Number
1174935100
Provider Name
Lakeisha Colter
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1108 W Indian School Rd, Phoenix, AZ, 85013-3107
Phone Number
602-773-5600
Fax Number
602-773-5600
Provider Enumeration Date
05/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z177769 01 AZ PTAN
980599 05 AZ
institution
Provider Business Practice Location Address Details
Address
1108 W Indian School Rd
City
State
Zip
85013-3107
Phone Number
602-773-5600
Fax Number
602-773-5600
person
Provider Business Mailing Address Details
Address
1108 W Indian School Rd
City
State
Zip
85013-3107
Phone Number
602-773-5600
Fax Number
602-773-5600
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5716 (Arizona)
Definition
Definition to come...
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