MEDICARE: MICHELLE ANN LAKHANI

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	183500000X	Pharmacist	38520	FL

General Provider Information

NPI Number	:	1245809839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANN LAKHANI

Provider Business Mailing Address
First Line	:	4400 N ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3918
Country	:	US
Telephone Number	:	954-776-1521
Fax Number	:	954-483-4968

Provider Business Practice Location Address
First Line	:	4400 N ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3918
Country	:	US
Telephone Number	:	954-776-1521
Fax Number	:

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

Provider Enumeration Date	:	06/18/2021
Last Update Date	:	06/18/2021

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