NPI Profile for LAVON H DRAKE in WILMINGTON, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ocularist |
156FX1700X | |||
Contact Lens |
156FC0800X | |||
Medical Laboratory |
246RM2200X |
| NPI # | 1306044631 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/09/2007 | |
| Last updated | 07/09/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LAVON H DRAKE
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