| NPI | 1285034850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LAKKO Owner 806-349-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7794) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P7794) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |