Individual
LAUREN KAMAL KAKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
272208
AZ
363L00000X
Nurse Practitioner
4704292671
MI
Other
Enumeration date
02/29/2016
Last updated
08/29/2022
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