Randala R Lakkis
Pediatric Nephrologist
3023 Hamaker Ct Ste 600
Fairfax
, Virginia 22031-2241
Randala R Lakkis
Pediatric Nephrologist
3023 Hamaker Ct Ste 600
Fairfax
, Virginia 22031-2241
(703) 839-8763
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Randala R Lakkis
- 3023 Hamaker Ct Ste 600
- Fairfax, VA
- Zip : 22031-2241
- Fax : (703) 839-8763
- Phone : (703) 876-2788
Second Address
- Randala R Lakkis
- 3023 Hamaker Ct Ste 600
- Fairfax, VA
- Zip : 22031-2241
- Fax : (703) 839-8763
- Phone : (703) 876-2788
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Is Randala R Lakkis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | 0101238274 | VA |
National Provider Identifier
| NPI | 1235226663 |
|---|---|
| Provider Name | Randala R Lakkis |
| First Address | Fairfax, VA 22031-2241 |
| Second Address | Fairfax, VA 22031-2241 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 19/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 277144600 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.