Individual
TRISHA NICOLE LAKEY-SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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