| Doctor Name: | JUDITH E LAKY |
| NPI Number: | 1073970935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 2130562 |
| Business Practice Address: | 1653 Watermark Cir Ne Unit A Saint Petersburg, FL - 337027068 |
| Business Phone Number: | 7274030757 |
| Business Fax Number: | |
| Mailing Address: | 1653 Watermark Cir Ne, Unit A SAINT PETERSBURG |
| State: | FL |
| Postal Code: | 337027068 |
| Phone Number: | 7274030757 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2016 |
| NPI Last Update Date: | 01/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 2130562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |