Individual
ANNE R LAKAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2600 22ND AVE, KENOSHA, WI 53140-4813
(262) 658-1410
Mailing address
2600 22ND AVE, KENOSHA, WI 53140-4813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001888-15
WI
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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