Individual
LAIKYN CREQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3906 S DUPONT SQ STE C, LOUISVILLE, KY 40207-4647
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004278A
IN
363A00000X
Physician Assistant
Primary
PA3164
KY
Other
Enumeration date
10/19/2022
Last updated
04/11/2024
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