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NPI Code Detail

MEDICARE: DOROTHY LAKIS MD

MEDICARE: DOROTHY LAKIS 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
1207P00000XEmergency Medicine Physician35.144663OH

General Provider Information

NPI Number : 1871152611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY LAKIS MD
Provider Business Mailing Address
First Line : 1274 CANTERHURST ST
Second Line :
City : BLACKLICK
State : OH
Zip : 43004-7134
Country : US
Telephone Number : 614-533-6297
Fax Number :
Provider Business Practice Location Address
First Line : 5100 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1607
Country : US
Telephone Number : 614-544-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2019
Last Update Date : 06/21/2026

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