Provider Demographics
NPI:1164600870
Name:EATON, LAKISHA S (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKISHA
Middle Name:S
Last Name:EATON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1470
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2208
Mailing Address - Country:US
Mailing Address - Phone:404-589-2670
Mailing Address - Fax:404-589-2671
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1470
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2208
Practice Address - Country:US
Practice Address - Phone:404-589-2670
Practice Address - Fax:404-589-2671
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2012-06-05
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Provider Licenses
StateLicense IDTaxonomies
GA67009207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology