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Lakisha Peten
Prosthetic/Orthotic Supplier in Columbia, Mississippi
NPI 1578241519

Lakisha Peten is a Prosthetic/Orthotic Supplier based in Columbia, MS. Lakisha Peten practices in Columbia, MS. The NPI Number for Lakisha Peten is 1578241519 and holds a License No. (Mississippi).

The current practice location address for Lakisha Peten is 950 Hwy 13 S, Columbia, MS and can be reached out via phone at 601-588-6689. You can also correspond with Lakisha Peten through the mailing address at 107 WALTER PAYTON DR # 220, COLUMBIA, MS - 39429-3738 (mailing address contact number: 601-588-6689).

Location: 950 Hwy 13 S, Columbia, MS, 39429-3738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578241519
Provider Name
Lakisha Peten
Credential
Provider Entity Type
Individual
Gender
Female
Address
950 Hwy 13 S, Columbia, MS, 39429-3738
Phone Number
601-588-6689
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
950 Hwy 13 S
City
Columbia
State
Mississippi
Zip
39429
Phone Number
601-588-6689
Fax Number
person
Provider Business Mailing Address Details
Address
950 Hwy 13 S
City
Columbia
State
Mississippi
Zip
39429
Phone Number
601-588-6689
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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