Provider Demographics
NPI:1467935957
Name:HUTTON, LEKEYA (NP-C)
Entity type:Individual
Prefix:
First Name:LEKEYA
Middle Name:
Last Name:HUTTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9106 PHILADELPHIA RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4335
Mailing Address - Country:US
Mailing Address - Phone:443-924-5945
Mailing Address - Fax:855-754-1133
Practice Address - Street 1:9106 PHILADELPHIA RD STE 106
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-4335
Practice Address - Country:US
Practice Address - Phone:443-559-8354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR200218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine