Provider Demographics
NPI:1417610379
Name:LAKEW, LIYA BITSUAN (ACUTE CARE NP)
Entity Type:Individual
Prefix:
First Name:LIYA
Middle Name:BITSUAN
Last Name:LAKEW
Suffix:
Gender:F
Credentials:ACUTE CARE NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CENTER 3677
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-3421
Mailing Address - Fax:919-681-1473
Practice Address - Street 1:DUKE MEDICINE PAVILION
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3006
Practice Address - Country:US
Practice Address - Phone:919-681-3421
Practice Address - Fax:919-681-1473
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5015219363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care