Individual
LAKI LAMAR SYPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5251 W CAMPBELL AVE STE 209, PHOENIX, AZ 85031-1719
(623) 295-9761
Mailing address
11002 W MONTE VISTA RD, AVONDALE, AZ 85392-5465
(480) 252-4796
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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