Individual
DR. DOUGLAS M. LAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9977 N 90TH ST, #180, SCOTTSDALE, AZ 85258-4423
(480) 614-5800
(480) 614-6322
Mailing address
9977 N 90TH ST, #180, SCOTTSDALE, AZ 85258-4423
(480) 614-5800
(480) 614-6322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19362
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19362
STATE MEDCIAL LICENSE
AZ
01
—
Z25901
PTAN
AZ
Enumeration date
01/04/2006
Last updated
03/07/2023
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