Individual provider · Type 1 NPI

Lakisha Grady

Technician/Technologist · Fort Wayne, IN

NPI number 1114797313 Active

Practice location

2213 Drexel Ave
Fort Wayne, IN 46806-1382

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1114797313

Lakisha Grady's National Provider Identifier is 1114797313, issued on Jan 8, 2024. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 28, 2024.