| Lakko Optimal Health,inc | |
|
540 W 15th St Hereford TX 79045-2820 | |
| (806) 349-9331 | |
| Not Available |
| Full Name | Lakko Optimal Health,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 540 W 15th St, Hereford, Texas |
| Authorized Official Name and Position | Robert J Lakko (OWNER) |
| Authorized Official Contact | 8063499331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakko Optimal Health,inc Po Box 2061 Hereford TX 79045-2061 Ph: (806) 349-9331 | Lakko Optimal Health,inc 540 W 15th St Hereford TX 79045-2820 Ph: (806) 349-9331 |
| NPI Number | 1285034850 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 09/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285034850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P7794 (Texas) | Primary |
| 207V00000X | Obstetrics & Gynecology | P7794 (Texas) | Secondary |
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