Provider Demographics
NPI:1609602390
Name:LEOTSAKOU, LAMPRINI
Entity type:Individual
Prefix:DR
First Name:LAMPRINI
Middle Name:
Last Name:LEOTSAKOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 CROFT ROW
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-6080
Mailing Address - Country:US
Mailing Address - Phone:224-875-5046
Mailing Address - Fax:
Practice Address - Street 1:4243 AMBASSADOR CAFFERY PKWY STE 118
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7268
Practice Address - Country:US
Practice Address - Phone:337-422-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA76201223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics