Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lakyn Julia Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366056996

Lakyn Julia Wallace is a Student in an Organized Health Care Education/Training Program in Huntington, West Virginia. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2020
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Practice location Address checks out

1538 Charleston Ave
Huntington, WV 25701
Phone: (304) 696-7302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (KY)

Record details

NPI number1366056996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateAugust 27, 2020

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