Provider Demographics
NPI:1902022908
Name:LANKER, MARK DARRYL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:DARRYL
Last Name:LANKER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:700 CHILDREN'S DR, COLUMBUS, OHIO, 43205
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205
Mailing Address - Country:US
Mailing Address - Phone:614-722-4386
Mailing Address - Fax:614-722-4386
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-4386
Practice Address - Fax:614-722-4386
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH57.013336207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine