Drew Erica Lakey
Physician Assistant, Medical in Grants Pass, OR. Individual provider (NPI-1).
NPI number1609443589
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1609443589
- Entity type
- Individual (NPI-1)
- Name
- Miss Drew Erica Lakey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 214110 | OR | Yes |
| 363AM0700X | Physician Assistant, Medical | 60671 | CA |
Practice location
1309 Ne 6th StGrants Pass, OR 97526-1252
Phone 541-479-3367
Mailing address
4517 Radnor AveLakewood, CA 90713-2550
Phone 562-508-1089
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