Provider Demographics
NPI:1093700106
Name:LEKKAS, KONSTANTINOS P (MD)
Entity Type:Individual
Prefix:DR
First Name:KONSTANTINOS
Middle Name:P
Last Name:LEKKAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50302-0424
Mailing Address - Country:US
Mailing Address - Phone:515-875-9255
Mailing Address - Fax:515-875-9223
Practice Address - Street 1:5950 UNIVERSITY AVE STE 120
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8232
Practice Address - Country:US
Practice Address - Phone:515-875-9744
Practice Address - Fax:515-875-9765
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2024-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-36142208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI33807Medicare UPIN