Lakusta-Wong, Sidney

Lakusta-Wong, Sidney is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lakusta-Wong, Sidney can be contacted via phone (602) 344-5011.

Contact Information

Primary practice address
2601 E Roosevelt St Phoenix AZ 85008-4973
Phone: (602) 344-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 68487 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A163866 California

Profile Details

NPI number 1346730751
LBN Legal business name Lakusta-Wong, Sidney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2018
Last updated Feb 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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