Individual
DR. RHETT BERTON LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3231 S NATIONAL AVE, STE 160, SPRINGFIELD, MO 65807-7304
(417) 888-6708
(417) 890-4143
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2009019124
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639345242
—
MO
05
—
187715717
—
AR
01
—
431560263
TRICARE
MO
01
—
P00964795
RR MCR
MO
Enumeration date
05/03/2008
Last updated
11/14/2012
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