Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | A68833 | CA |
NPI | 1013419035 |
---|---|
Provider Name | Dr. Michael Lafkas |
First Address | Seal Beach, CA 90740-6348 |
Second Address | Seal Beach, CA 90740-6348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2018 |
Last Update Date | 06/03/2018 |