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General NPI Number Information
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NPI Number | 1891237889
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Entity Type | Individual
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Provider Name | LAKIESHA SHEAFFER NP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 3132 STATE ST STE 104
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City | MEDFORD
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State | OR
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Zip | 97504-8688
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Country | US
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Telephone | 541-414-0481
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Fax |
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Provider Business Mailing Address
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Address Line | 3132 STATE ST STE 104
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City | MEDFORD
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State | OR
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Zip | 97504-8688
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Country | US
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Telephone | 541-414-0481
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Fax | 541-414-0482
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9494253
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201608321NP-PP
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License Number State | OR
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