Individual
LAKYN ALLISON MERRIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 MATTHEW ST, SUITE 302, MARIETTA, OH 45750-1644
(740) 568-5207
(740) 568-5297
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073178
—
OH
01
—
1092670
NCCPA CERTIFICATION NUMBER
OH
01
—
P01534303
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
12/28/2011
Last updated
04/18/2022
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