Provider Demographics
NPI:1114989670
Name:LAKATOSH, DONALD ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ANDREW
Last Name:LAKATOSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:407 N FOREST PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5136
Mailing Address - Country:US
Mailing Address - Phone:865-577-1914
Mailing Address - Fax:865-577-1714
Practice Address - Street 1:407 N FOREST PARK BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5136
Practice Address - Country:US
Practice Address - Phone:865-577-1914
Practice Address - Fax:865-577-1714
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000031103208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation