Individual
LAKEISSA M DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 E JEFFERSON ST, WAXAHACHIE, TX 75165-3827
(972) 923-2440
(972) 923-2445
Mailing address
411 E JEFFERSON ST, WAXAHACHIE, TX 75165-3827
(972) 923-2440
(972) 923-2445
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06297
TX
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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