Provider Demographics
NPI:1528383015
Name:LAKOFF, WARREN (R PH)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:
Last Name:LAKOFF
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:MR
Other - First Name:WARREN
Other - Middle Name:
Other - Last Name:LAKOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:185 BEACH 139 STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694
Mailing Address - Country:US
Mailing Address - Phone:718-945-5131
Mailing Address - Fax:
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-4083
Practice Address - Fax:718-616-3135
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27722-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist