Individual
LEIGH ANN LAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
17TH & CHEW STREET, ALLENTOWN, PA 18102
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN540112
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
073188
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027903300001
—
PA
01
—
11803096
CAQH
PA
01
—
1547450
GATEWAY
PA
01
—
1675591
FIRST PRIORITY
PA
01
—
2001552
KHP CENTRAL
PA
01
—
2350214000
INDEP. BLUE CROSS
PA
01
—
50044079
CAPITAL ADVANTAGE
PA
01
—
91168
GEISINGER
PA
01
—
9600447
AETNA
PA
Enumeration date
09/27/2005
Last updated
04/05/2013
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