Individual
JOHN E LANKENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-0857
(928) 453-2211
(928) 453-2219
Mailing address
72 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-0857
(928) 453-2211
(928) 453-2219
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DR-31443
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01314434
—
CO
05
—
849442
—
AZ
Enumeration date
06/28/2006
Last updated
06/29/2020
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