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Lakisha Grady — NPI 1114797313, Fort Wayne, IN | NPI Central

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Lakisha Grady

NPI 1114797313 · Technician/Technologist · Fort Wayne, IN

Provider details

NPI number: 1114797313
Entity type: Individual
Primary specialty: Technician/TechnologistEye and Vision Services Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Technician/TechnologistPrimary156F00000X
Eye and Vision Services Providers

Practice location

2213 Drexel Ave

Fort Wayne, IN 46806-1382

Phone: (260) 715-5312

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

2213 Drexel Ave

Fort Wayne, IN 46806-1382

Registry dates

Enumerated: 2024-01-08
Last updated: 2024-01-28
Certified: 2024-01-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.