Darlene Kim Lakin, RN

Individual provider Active NPI Registered Nurse · Williamburg, MI

NPI 1295932911 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295932911
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
4704214456 (MI)
Practice address
6100 US 31 North
Williamburg, MI 49690
Phone
(231) 938-5983
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704214456MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Eldercare, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704214456 MI Yes

Addresses

Primary practice location

6100 US 31 North
Williamburg, MI 49690

Mailing address

1728 Forest Ridge Dr
Traverse City, MI 49686-4799
Phone (231) 631-8423

Other names

  • Darlene Kim Wright Former name

Sources for this page

Verify at the official NPI Registry.