Provider Demographics
NPI:1841458676
Name:LAYFIELD, LAKEYSHA TEAKA (MD)
Entity type:Individual
Prefix:DR
First Name:LAKEYSHA
Middle Name:TEAKA
Last Name:LAYFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAKEYSHA
Other - Middle Name:TEAKA
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 S J ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4933
Mailing Address - Country:US
Mailing Address - Phone:253-426-6341
Mailing Address - Fax:253-426-6344
Practice Address - Street 1:1717 S J ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4933
Practice Address - Country:US
Practice Address - Phone:253-426-6341
Practice Address - Fax:253-426-6344
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45323207R00000X
WAMD60264225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0306463OtherSTATE L&I
TN1515347Medicaid
WA0306469OtherSTATE L&I
WA0306470OtherSTATE L&I
WA0306472OtherSTATE L&I
VA1841458676Medicaid
TN4238973OtherBC/BS
WA0306468OtherSTATE L&I
TN4238973OtherBC/BS
WAG8916546Medicare PIN
WAG8916545Medicare PIN