Provider Demographics
NPI:1760485072
Name:LAKAMP, STEVEN FREDERICK (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:FREDERICK
Last Name:LAKAMP
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4781
Mailing Address - Country:US
Mailing Address - Phone:513-474-4450
Mailing Address - Fax:513-474-6387
Practice Address - Street 1:8404 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4781
Practice Address - Country:US
Practice Address - Phone:513-474-4450
Practice Address - Fax:513-474-6387
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001641213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
48034633OtherMEDICARE RAILROAD
OH0232555Medicaid
OH27-01327OtherUNITED HEALTHCARE
OH000000251378OtherANTHEM
OH0397857Medicare PIN
OH0232555Medicaid