Individual
LAKEVA CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 FLORENCE BLVD STE D, FLORENCE, AL 35630-2807
(568) 021-5002
(256) 802-1501
Mailing address
PO BOX 2874, FLORENCE, AL 35630-0022
(256) 802-1500
(256) 802-1501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1130759
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-130759
AL
Other
Enumeration date
11/17/2015
Last updated
04/22/2020
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