Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 01086656A | IN |
N | 208600000X | Surgeon | 01086656A | IN |
N | 208200000X | Surgeon | 036.143479 | IL |
N | 208600000X | Surgeon | 036.143479 | IL |
N | 208200000X | Surgeon | BP10036863 | TX |
N | 208600000X | Surgeon | BP10036863 | TX |
N | 2086S0102X | Surgical Critical Care | 01086656A | IN |
Y | 2086X0206X | Surgical Oncologist | 01086656A | IN |
NPI | 1093026247 |
---|---|
Provider Name | Anna Lakoma |
First Address | Merrillville, IN 46410-7032 |
Second Address | Hobart, IN 46342-6791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 12/11/2021 |