Individual
DEVIN LAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3399 E LOUISE DR STE 100, MERIDIAN, ID 83642-5047
(208) 288-2255
(208) 706-2043
Mailing address
3399 E. LOUISE DR., SUITE 100, MERIDIAN, ID 83642
(208) 288-2255
(208) 706-2043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-13217
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
ID
Other
Enumeration date
05/12/2014
Last updated
07/21/2022
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