Individual
DR. DIANA LAKOVITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4818 13TH AVE, KLEINS VISION CENTER, BROOKLYN, NY 11219-3111
(718) 633-5162
(718) 633-0554
Mailing address
1644 W 12TH ST, BROOKLYN, NY 11223-1144
(646) 642-3292
(718) 633-0554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02557977
—
NY
Enumeration date
09/24/2006
Last updated
02/07/2012
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