Individual
DR. GREGORY LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6550 N FEDERAL HWY, SUITE 320, FORT LAUDERDALE, FL 33308-1404
(954) 491-0510
(954) 491-1388
Mailing address
6550 N FEDERAL HWY, SUITE 320, FORT LAUDERDALE, FL 33308-1404
(954) 491-0510
(954) 491-1388
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35.099884
OH
208200000X
Plastic Surgery Physician
496688
FL
208200000X
Plastic Surgery Physician
A116423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070344
—
OH
01
—
35.099884
LICENSE
OH
Enumeration date
08/13/2006
Last updated
11/17/2016
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