| NPI | 1306562434 |
|---|---|
| Former Name | LAIKYN LOCKLEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3164) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004278A) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-04-11 |