Individual provider · Type 1 NPI

Lakeisha Colter, PA-C

Medical Physician Assistant · Phoenix, AZ

NPI number 1174935100 Active

Practice location

1108 W Indian School Rd, Ste B
Phoenix, AZ 85013-3107

Fax (602) 773-5600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5716 (AZ)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1174935100

Lakeisha Colter, PA-C's National Provider Identifier is 1174935100, issued on May 26, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 1, 2015.