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NPI Code Detail

MEDICARE: DR. DONALD ANDREW LAKATOSH M.D.

MEDICARE: DR. DONALD ANDREW LAKATOSH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianMD0000031103TN

General Provider Information

NPI Number : 1114989670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD ANDREW LAKATOSH M.D.
Provider Business Mailing Address
First Line : 407 N FOREST PARK BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5136
Country : US
Telephone Number : 865-577-1914
Fax Number : 865-577-1714
Provider Business Practice Location Address
First Line : 407 N FOREST PARK BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5136
Country : US
Telephone Number : 865-577-1914
Fax Number : 865-577-1714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 12/17/2019

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