Individual
PHILIP ALLAN LA KIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LUKE AVE RM 405, BOLLING AFB, DC 20032-6400
(202) 767-4200
Mailing address
110 LUKE AVE RM 405, BOLLING AFB, DC 20032-6400
(202) 767-4200
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
54443
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
MILITARY, SCOTT AFB IL
—
Enumeration date
09/25/2005
Last updated
07/08/2007
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