Doctor Name: | LEA OAKES |
NPI Number: | 1447599881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 87668 |
Business Practice Address: | 1031 Muller Rd Blythewood, SC - 290168383 |
Business Phone Number: | 8036916851 |
Business Fax Number: | 8037387531 |
Mailing Address: | 1031 Muller Rd, BLYTHEWOOD |
State: | SC |
Postal Code: | 290168383 |
Phone Number: | 8036916851 |
Fax Number: | 8037387531 |
NPI Enumeration Date: | 02/05/2013 |
NPI Last Update Date: | 02/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 87668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |