Individual
CARRIE A LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
331 LAIDLEY ST, SUITE 602, CHARLESTON, WV 25301-1619
(304) 347-3668
Mailing address
PO BOX 11528, CHARLESTON, WV 25339-1528
(304) 347-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0359
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103010001
—
WV
Enumeration date
10/25/2007
Last updated
11/01/2007
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