Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 268676 | NY |
NPI | 1063750099 |
---|---|
Provider Name | Dr. Dawud Omar Lankford |
First Address | Antioch, CA 94509-7319 |
Second Address | Oakland, CA 94609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2013 |
Last Update Date | 23/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04295667 | (05) | NY |