Individual
IASS EL LAKKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MARY ST STE 230, EVANSVILLE, IN 47710-1678
(812) 450-8600
(812) 450-8151
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
46817
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100331430
—
KY
Enumeration date
07/06/2009
Last updated
08/03/2020
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