Provider Demographics
NPI:1447960141
Name:WALKER, LAKEA (MHA, IBCLC)
Entity type:Individual
Prefix:
First Name:LAKEA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MHA, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 FOXCROFT LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8624
Mailing Address - Country:US
Mailing Address - Phone:919-358-6566
Mailing Address - Fax:
Practice Address - Street 1:207 FOXCROFT LN
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8624
Practice Address - Country:US
Practice Address - Phone:919-358-6566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-156904174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN