Active NPI
Janelle Raye Lakman, LMP
- Specialist
- Deer Park, WA
National Provider Identifier
1992845820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10669
- Practice address
- W. 110 Crawford
Deer Park, WA 99006 - Phone
- (509) 276-1368
- Fax
- (509) 276-1368
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10669 | WA | Primary |
Addresses
Primary practice location
W. 110 Crawford
Deer Park, WA 99006
Mailing address
4668 Price Rd
Clayton, WA 99110-9722
Phone (509) 276-1368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10669 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992845820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4668 PRICE RD",
"city": "CLAYTON",
"state": "WA",
"postal_code": "991109722",
"telephone_number": "509-276-1368",
"fax_number": "509-276-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W. 110 CRAWFORD",
"city": "DEER PARK",
"state": "WA",
"postal_code": "99006",
"telephone_number": "509-276-1368",
"fax_number": "509-276-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKMAN",
"first_name": "JANELLE",
"middle_name": "RAYE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "10669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.