Provider Demographics
NPI:1467566943
Name:LAKATOS, ROBERT ELOD (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELOD
Last Name:LAKATOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:759 FALMOUTH RD UNIT 3
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3371
Mailing Address - Country:US
Mailing Address - Phone:508-477-8242
Mailing Address - Fax:508-477-8243
Practice Address - Street 1:759 FALMOUTH RD UNIT 3
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3371
Practice Address - Country:US
Practice Address - Phone:508-477-8242
Practice Address - Fax:508-477-8243
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA606800 8888616-001OtherCIGNA
MAY39557 AND Y36799OtherBC/BS
MA6688624OtherTUFTS
MA351352OtherHARVARD PILGRIM
MA351352OtherHARVARD PILGRIM