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NPI Code Detail

MEDICARE: IYANA DIOR LAKIN

MEDICARE: IYANA DIOR LAKIN
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1366081739
Entity Type Code : Individual
Provider Name (Legal Business Name) : IYANA DIOR LAKIN
Provider Business Mailing Address
First Line : 274 HANNAH GAP RD
Second Line :
City : PETERSBURG
State : TN
Zip : 37144-8523
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 N SAINT PAUL ST STE 3100
Second Line :
City : DALLAS
State : TX
Zip : 75201-3923
Country : US
Telephone Number : 888-320-3222
Fax Number : 347-402-2106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2020
Last Update Date : 02/24/2026

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Directions to “ IYANA DIOR LAKIN ” Practice Location

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