Provider Demographics
NPI:1982116026
Name:KIRKMAN, LALITA P (LAC)
Entity Type:Individual
Prefix:
First Name:LALITA
Middle Name:P
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1667 NOCHE BUENA ST
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-4419
Mailing Address - Country:US
Mailing Address - Phone:831-332-3656
Mailing Address - Fax:
Practice Address - Street 1:10 HARRIS CT STE A2
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7823
Practice Address - Country:US
Practice Address - Phone:831-585-9608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17588171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist