MEDICARE: KARL W LANKS MD

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
1	174400000X	Specialist	1035221	NY

General Provider Information

NPI Number	:	1053370577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARL W LANKS MD

Provider Business Mailing Address
First Line	:	868 CARROLL ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1702
Country	:	US
Telephone Number	:	917-361-6986
Fax Number	:	718-783-4114

Provider Business Practice Location Address
First Line	:	868 CARROLL ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1702
Country	:	US
Telephone Number	:	917-361-6986
Fax Number	:	718-783-4114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	05/08/2014

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Directions to “ KARL W LANKS MD” Practice Location

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