Healthcare Provider Details

I. General information

NPI: 1265474969
Provider Name (Legal Business Name): PRITI LAKHANI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 SW MULVANE ST SUITE 402
TOPEKA KS
66606-1678
US

IV. Provider business mailing address

634 SW MULVANE ST SUITE 402
TOPEKA KS
66606-1678
US

V. Phone/Fax

Practice location:
  • Phone: 785-357-0352
  • Fax: 785-357-0356
Mailing address:
  • Phone: 785-357-0352
  • Fax: 785-357-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1200292
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: