Basic Information
| Provider Information | |||||||||
| NPI: | 1093026247 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAKOMA KUIKEN | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| OtherLastName: | LAKOMA | ||||||||
| OtherFirstName: | ANNA | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8558 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464107032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2193927084 | ||||||||
| FaxNumber: | 2197036854 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 S LAKE PARK AVE STE 202 | ||||||||
| Address2: | |||||||||
| City: | HOBART | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463426791 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2199476725 | ||||||||
| FaxNumber: | 2199476125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2010 | ||||||||
| LastUpdateDate: | 08/24/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 01086656A | IN | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | BP10036863 | TX | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 036.143479 | IL | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 01086656A | IN | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086X0206X | 01086656A | IN | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
No ID Information.