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NPI Code Detail

MEDICARE: MR. ALEX B LAKOJU MA, MFT

MEDICARE: MR. ALEX B LAKOJU MA, MFT
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
1101YP2500XProfessional Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528603974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEX B LAKOJU MA, MFT
Provider Business Mailing Address
First Line : 8 W 126TH ST FL 3
Second Line :
City : NEW YORK
State : NY
Zip : 10027-3811
Country : US
Telephone Number : 646-316-4090
Fax Number :
Provider Business Practice Location Address
First Line : 8 W 126TH ST FL 3
Second Line :
City : NEW YORK
State : NY
Zip : 10027-3811
Country : US
Telephone Number : 646-316-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2019
Last Update Date : 11/08/2019

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