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NPI Code Detail

MEDICARE: LAKESHIA NICOLE CRAIG MD

MEDICARE: LAKESHIA NICOLE CRAIG MD
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
12080A0000XPediatric Adolescent Medicine Physician89342SC

General Provider Information

NPI Number : 1538523444
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKESHIA NICOLE CRAIG MD
Provider Business Mailing Address
First Line : 2250 MALL DR FL 2
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-6563
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2250 MALL DR FL 2
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-6563
Country : US
Telephone Number : 843-876-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 09/14/2023

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Directions to “ LAKESHIA NICOLE CRAIG MD” Practice Location

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