Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN LACKS, M.D.
Active Sole ProprietorDR. SUSAN LACKS, M.D. is a 207RM1200X healthcare provider located in WASHINGTON, Washington D.C.. NPI 1912015355 is currently active in the NPPES registry. Verify at CMS.
207RM1200X · WASHINGTON, DC
Registration Details
- NPI Number
- 1912015355
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2006 (19.992439047852 yrs)
- Last Updated
- Aug 17, 2010
- Licenses
-
13189 (DC)13189 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2141 K STREET NWSUITE 407WASHINGTON, DC, 200371810Browse DC providers · Browse ZIP 20037
- Phone
- 2022938815
- Fax
- 2022934118
- Primary Specialty
-
207RM1200X
207RM1200X
- Additional Specialty
- 207RM1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.