Most Relevant Information
Provider Data
| NPI Number: | 1003208729 |
| Provider Name: | LAKETA D RILEY APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN288707 |
Most Important Dates
| Enumeration Date: | 03/04/2015 |
| Last Updated: | 11/08/2022 |
Provider Practice Location
111 DOCTOR CIR
COLUMBIA
SC
292036502
Practice Location Phone/Fax
| Phone: | 8004910909 |
| Fax: |
Provider Mailing Location
111 DOCTOR CIR
COLUMBIA
SC
292036502
Provider Mailing Phone/Fax
| Phone: | 8004910909 |
| Fax: |