Individual
DR. MICHAEL JON LAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
215 N CAYUGA ST, SUITE 223, ITHACA, NY 14850-4329
(607) 275-3727
(607) 275-3727
Mailing address
215 N. CAYUGA ST., BOX 30, ITHACA, NY 14850-4329
(607) 275-3727
(607) 275-3727
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012562
NY
Other
Enumeration date
10/31/2006
Last updated
07/09/2007
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