Provider Demographics
NPI: | 1275009706 |
---|---|
Name: | LAKAY MULTI SERVICES, LLC |
Entity type: | Organization |
Organization Name: | LAKAY MULTI SERVICES, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT , CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PEGUY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LUMA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CFSA |
Authorized Official - Phone: | 832-266-4013 |
Mailing Address - Street 1: | PO BOX 938 |
Mailing Address - Street 2: | |
Mailing Address - City: | ROWLETT |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75030-0938 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-266-4013 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1206 NEWSOME GLENN DR |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77090-7118 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-266-4013 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-10-23 |
Last Update Date: | 2019-02-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Surgical Assistant | Group - Single Specialty |
No | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Single Specialty | |
No | 207VF0040X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Urogynecology and Reconstructive Pelvic Surgery | Group - Single Specialty |
No | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Pediatric Orthopaedic Surgery | Group - Single Specialty |
No | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | Group - Single Specialty |
No | 2082S0105X | Allopathic & Osteopathic Physicians | Plastic Surgery | Surgery of the Hand | Group - Single Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Single Specialty | |
No | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | Group - Single Specialty |
No | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Group - Single Specialty | |
No | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | Group - Single Specialty |
No | 261QS0112X | Ambulatory Health Care Facilities | Clinic/Center | Oral and Maxillofacial Surgery | Group - Single Specialty |