Individual
KENNEDI MARIE LAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 946-7500
Mailing address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 946-7500
(701) 751-4550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1779
ND
Other
Enumeration date
05/18/2020
Last updated
06/07/2022
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