Provider Demographics
NPI:1023508413
Name:AYERS, LAKIN NORRIS (PHD)
Entity type:Individual
Prefix:
First Name:LAKIN
Middle Name:NORRIS
Last Name:AYERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5580 US 25/70 HWY
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-6499
Mailing Address - Country:US
Mailing Address - Phone:828-649-1636
Mailing Address - Fax:
Practice Address - Street 1:5580 US 25/70 HWY
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-6499
Practice Address - Country:US
Practice Address - Phone:828-649-1636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist