Individual
MRS. ERNESTINE LAKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-7083
Mailing address
12410 MILESTONE CENTER DR, GERMANTOWN, MD 20876-7101
(301) 944-0040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05904
MD
363AM0700X
Medical Physician Assistant
C05904
MD
Other
Enumeration date
09/15/2015
Last updated
05/07/2024
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