Individual
DALE G LAKOMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3663 BEE RIDGE RD, SARASOTA, FL 34233
(941) 924-8700
(941) 924-2320
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME48835
FL
2085R0203X
Therapeutic Radiology Physician
ME48835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103548
AVMED
FL
01
—
1989396
CIGNA
FL
05
—
268344000
—
FL
01
—
37561
BCBS OF FL
FL
01
—
4018949
AETNA
FL
01
—
P00355694
R.R.MEDICARE
—
01
—
P01257632
RAILROAD MCR
FL
01
—
P102620
FREEDOM HEALTH
FL
01
—
P513268
OPTIMUM
FL
Enumeration date
01/17/2006
Last updated
03/11/2014
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