Individual
LAKEN RENEE EYLER
Active
Individual
LAKEN RENEE EYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3192
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52205312
—
CO
01
—
P01004010
RAILROAD MEDICARE
CO
Enumeration date
04/08/2011
Last updated
09/11/2023
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