NPI
Laika Mirtil
NPI 1154094241
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2021-07-26
- Last updated
- 2023-09-18
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Specialties
Licenses
- License IN
- 18-61416
- License GA
- 1-23-67979
Location
- Practice location
- 540 Glenn Gee Rd Apt 6205
- City
- Pendergrass GA
- Postal code
- 30567-4728
- Phone
- (812) 850-0289
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Pendergrass, GA. 17 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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