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General NPI Number Information
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NPI Number | 1609125244
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Entity Type | Individual
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Provider Name | CHRISTOPHER LAKEY
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Gender | Male
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 500 E BAYBROOK CT
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City | BOISE
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State | ID
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Zip | 83706-3922
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Country | US
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Telephone | 551-361-6051
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Fax |
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Provider Business Mailing Address
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Address Line | 6225 N CEZANNE RD
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City | COEUR D ALENE
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State | ID
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Zip | 83815
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P6646
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60289591
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License Number State | WA
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