Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC004519L | PA |
NPI | 1447233747 |
---|---|
Provider Name | Dr. Albert Scott Lakernick |
First Address | Prospect Park, PA 19076-1506 |
Second Address | Prospect Park, PA 19076-1506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 04/08/2010 |