Individual
LAKEATIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 EASTPARK BLVD, MADISON, WI 53718-2007
(608) 240-3000
Mailing address
4904 EAST PARK BLD, MADISON, WI 60824-0300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30-574
WI
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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