Provider Demographics
NPI:1821372012
Name:LACHGAR, ZAKIA (DOM)
Entity Type:Individual
Prefix:
First Name:ZAKIA
Middle Name:
Last Name:LACHGAR
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4248 W TOWN CENTER BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6107
Mailing Address - Country:US
Mailing Address - Phone:407-924-9745
Mailing Address - Fax:
Practice Address - Street 1:4248 W. TOWN CENTER BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7679
Practice Address - Country:US
Practice Address - Phone:407-924-9745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3014171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist