Provider Demographics
NPI:1265568844
Name:LAKNER, GEORGE S (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:S
Last Name:LAKNER
Suffix:
Gender:M
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:FORT MCNAIR
Mailing Address - Street 2:#70185
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024
Mailing Address - Country:US
Mailing Address - Phone:202-333-3393
Mailing Address - Fax:
Practice Address - Street 1:9377 HAVEN AVE STE 100
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5340
Practice Address - Country:US
Practice Address - Phone:909-906-0535
Practice Address - Fax:909-906-1505
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA508412084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry