Individual
IKUKO LACCHEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 SENTARA CIR STE 201C, WILLIAMSBURG, VA 23188-5716
(757) 345-4490
Mailing address
10275 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3445
(888) 464-2466
(410) 740-1518
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101254625
VA
Other
Enumeration date
07/05/2007
Last updated
10/24/2024
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