| NPI | 1588941298 |
|---|---|
| Other Name | KATE VON LACKUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: KY 923) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9105) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-08-01 |