Organization
DONALD LAKATOSH, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ANDREW LAKATOSH M.D. (OWNER)
(865) 577-1914
Entity
Organization
Contact information
Practice address
11560 CHAPMAN HWY, SUITE 1, SEYMOUR, TN 37865-5044
(865) 577-1914
(865) 577-1714
Mailing address
PO BOX 890040, CHARLOTTE, NC 28289-0040
(865) 670-6199
(865) 670-6158
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725984
—
TN
Enumeration date
05/15/2006
Last updated
01/05/2011
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