Individual
DR. AMIN A LAKHDHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 N WASHINGTON ST., MERCY MALL CLINIC, JANESVILLE, WI 53548-1561
(608) 741-2430
Mailing address
933 NEWBURY ST, RIPON, WI 54971-1730
(920) 748-0430
(920) 748-0533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44084-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34180200
—
WI
Enumeration date
01/19/2006
Last updated
01/02/2024
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