Individual
ELIAS LAKEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 VAN DUSEN RD, LAUREL, MD 20707-9266
(301) 725-4300
Mailing address
15905 WILLIS WAY, WOODBINE, MD 21797-7521
(410) 489-2821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0053055
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089000601
—
MD
05
—
413046400
—
MD
01
—
P00430518
RAILROAD
MD
Enumeration date
05/17/2006
Last updated
03/26/2008
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