Individual
VIVEK LAKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5221 GETWELL RD STE A, SOUTHAVEN, MS 38671-1054
(662) 469-5758
(662) 214-6248
Mailing address
5339 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-8243
(901) 504-7002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/28/2025
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