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Individual

MARIA REGINA LAKI LANTIN-HERMOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6651 MAIN ST STE E1920, HOUSTON, TX 77030-2428
(832) 826-5600
(832) 826-4287
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-5484

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
J7816
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125708102
CSHCN
TX
05
125708104
TX
01
370011877
RAILROAD MEDICARE
TX
01
89Y084
BCBS
TX
Enumeration date
06/17/2006
Last updated
02/22/2023
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