MEDICARE: RONALD LAKATOS 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	207XS0117X	Orthopaedic Surgery of the Spine Physician	35066366	OH
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	MD469962	PA
3	207X00000X	Orthopaedic Surgery Physician	35066366	OH
4	207X00000X	Orthopaedic Surgery Physician	MD469962	PA

General Provider Information

NPI Number	:	1093771123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD LAKATOS MD

Provider Business Mailing Address
First Line	:	164 GREENVIEW DR
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-2106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 GREENVIEW DR
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-2106
Country	:	US
Telephone Number	:	814-237-4321
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	12/18/2024

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