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NPI Code Detail

MEDICARE: MS. LAKESHIA EVETT COAKLEY

MEDICARE: MS. LAKESHIA EVETT COAKLEY
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
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487720405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAKESHIA EVETT COAKLEY
Provider Business Mailing Address
First Line : 8300 RIVERWIND LN
Second Line : APT 108
City : RALEIGH
State : NC
Zip : 27617-8451
Country : US
Telephone Number : 919-790-8580
Fax Number :
Provider Business Practice Location Address
First Line : 3125 POPLARWOOD CT
Second Line : SUITE 304
City : RALEIGH
State : NC
Zip : 27604-1084
Country : US
Telephone Number : 919-790-8580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 08/01/2012

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Directions to “ MS. LAKESHIA EVETT COAKLEY ” Practice Location

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