Individual
NASSER LAKKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3290 DAUPHIN ST STE 301, MOBILE, AL 36606-4052
(251) 873-6280
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J5171
TX
207RI0011X
Interventional Cardiology Physician
4301505555
MI
207RI0011X
Interventional Cardiology Physician
Primary
MD.47314
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116953401
—
TX
Enumeration date
10/17/2006
Last updated
10/23/2023
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