Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 310044 | LA |
N | 222Z00000X | Podiatrist | 310044 | LA |
N | 2081S0010X | Sports Medicine | 310044 | LA |
N | 213ES0000X | Sports Medicine | 310044 | LA |
Y | 213ES0103X | Foot & Ankle Surgery | 310044 | LA |
N | 213ES0131X | Foot Surgery | 310044 | LA |
NPI | 1538643697 |
---|---|
Provider Name | Zachary Dylan Lamkin |
First Address | Metairie, LA 70006-2970 |
Second Address | Metairie, LA 70006-2970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2018 |
Last Update Date | 24/09/2018 |