Healthcare Provider Details

I. General information

NPI: 1477496164
Provider Name (Legal Business Name): LAMA HAKIM M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 DEL PRADO BLVD, SUITE 1 SUITE 1
CAPE CORAL FL
33990
US

IV. Provider business mailing address

173 COOPER STREET, APT 306
OTTAWA ON
K2P 0E9
CA

V. Phone/Fax

Practice location:
  • Phone: 239-424-3120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: