Provider Demographics
NPI:1578593000
Name:LOKYS, LINDA J (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:J
Last Name:LOKYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 LAGO VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3334
Mailing Address - Country:US
Mailing Address - Phone:727-786-9732
Mailing Address - Fax:727-786-9732
Practice Address - Street 1:1885 LAGO VISTA BLVD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-3334
Practice Address - Country:US
Practice Address - Phone:727-786-9732
Practice Address - Fax:727-786-9732
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME54948207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F03863Medicare UPIN
FL14222ZMedicare PIN