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NPI Code Detail

MEDICARE: LAKYA PERKINS

MEDICARE:   LAKYA  PERKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse688700NY

General Provider Information

NPI Number : 1487036315
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKYA PERKINS
Provider Business Mailing Address
First Line : 275 CLINTON AVE
Second Line :
City : ALBANY
State : NY
Zip : 12210-2448
Country : US
Telephone Number : 518-590-6906
Fax Number :
Provider Business Practice Location Address
First Line : 275 CLINTON AVE
Second Line :
City : ALBANY
State : NY
Zip : 12210-2448
Country : US
Telephone Number : 518-590-6906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2015
Last Update Date : 06/27/2015

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Directions to “ LAKYA PERKINS ” Practice Location

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