Individual
DR. CHARLES M LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DRIVE, MEDICAL OFFICES NORTH SUITE 3-4, SAN DIEGO, CA 92103-8706
(619) 543-3572
(619) 543-3475
Mailing address
200 W ARBOR DRIVE, MAILCODE 8897, SAN DIEGO, CA 92103-8897
(619) 543-3573
(619) 543-3475
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G38869
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G388690
—
CA
Enumeration date
08/12/2006
Last updated
11/16/2010
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