NPI 1114797313

Lakisha Grady

Practitioner Technician/Technologist Fort Wayne, IN

Practice location

Address: 2213 Drexel Ave, Fort Wayne, IN 46806-1382
Phone: (260) 715-5312

Registered specialties

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X

Other Technician/Technologist providers in Indiana →

Registry record

NPI: 1114797313
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2024
Record last updated: 28 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.