Lakisha Peten
NPI #1578241519 in Columbia, Mississippi
Provider Information
- NPI Number
- 1578241519
- Entity Type
- Individual
- Name
- Lakisha Peten
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 10, 2023
- Last Updated
- Jul 11, 2023
Practice Location
- Address
- 950 HWY 13 S
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429
- Phone
- (601) 588-6689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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