MEDICARE: MARLA K LAFIKES M.D.

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	207Q00000X	Family Medicine Physician	11014571A	IN

General Provider Information

NPI Number	:	1124280383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLA K LAFIKES M.D.

Provider Business Mailing Address
First Line	:	213 NW 10TH ST
Second Line	:	SUITE A
City	:	FAIRFIELD
State	:	IL
Zip	:	62837-1219
Country	:	US
Telephone Number	:	618-842-4617
Fax Number	:	618-842-4743

Provider Business Practice Location Address
First Line	:	213 NW 10TH ST
Second Line	:	SUITE A
City	:	FAIRFIELD
State	:	IL
Zip	:	62837-1219
Country	:	US
Telephone Number	:	618-842-4617
Fax Number	:	618-842-4743

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

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	03/03/2021

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Directions to “ MARLA K LAFIKES M.D.” Practice Location

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