Individual
DR. LINA MACKELAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT183311
PA
207RN0300X
Nephrology Physician
Primary
43697
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100134410
—
KY
Enumeration date
09/10/2008
Last updated
08/29/2012
Update your record
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