Provider Demographics
NPI:1093515520
Name:LAKOU MEDICAL CONSULTING LLC
Entity type:Organization
Organization Name:LAKOU MEDICAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:TANELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-529-4861
Mailing Address - Street 1:18459 PINES BLVD # 487
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1400
Mailing Address - Country:US
Mailing Address - Phone:954-529-4861
Mailing Address - Fax:
Practice Address - Street 1:20507 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-5023
Practice Address - Country:US
Practice Address - Phone:954-529-4861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies