Individual
GREGORY F LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., J.D.
Contact information
Practice address
933 N TOPEKA ST, WICHITA, KS 67214-3620
(316) 201-1234
Mailing address
933 N TOPEKA ST, WICHITA, KS 67214-3620
(316) 201-1234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0528419
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372970E
—
KS
01
—
103296
BCBS
KS
Enumeration date
05/15/2006
Last updated
09/03/2020
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