Provider Demographics
NPI:1558440248
Name:LAKHKAR, LEENA B (DDS)
Entity Type:Individual
Prefix:MRS
First Name:LEENA
Middle Name:B
Last Name:LAKHKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:LEENA
Other - Middle Name:D
Other - Last Name:MOKADAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:57 WEST 57TH ST
Mailing Address - Street 2:SUITE 1405
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-759-2520
Mailing Address - Fax:212-759-2921
Practice Address - Street 1:57 WEST 57TH ST
Practice Address - Street 2:SUITE 1405
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-759-2520
Practice Address - Fax:212-759-2921
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0398911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice