Healthcare Provider Details

I. General information

NPI: 1952728396
Provider Name (Legal Business Name): VLADIMIR LAKHTER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 LAUREL OAK RD STE 166
VOORHEES NJ
08043-4312
US

IV. Provider business mailing address

1105 LAUREL OAK RD STE 166
VOORHEES NJ
08043-4312
US

V. Phone/Fax

Practice location:
  • Phone: 856-309-5869
  • Fax: 856-325-5793
Mailing address:
  • Phone: 856-309-5869
  • Fax: 856-325-5793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS017151
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number25MB13034000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: