SUSAN LACKS M.D. – NPI #1912015355
Internal Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

SUSAN LACKS is a physician located in WASHINGTON, DC. NPPES has assigned the NPI number 1912015355 to SUSAN LACKS on August 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RM1200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Magnetic Resonance Imaging (MRI)

The NPI profile was previously updated about 16 years ago on Aug 17, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN LACKS below.

NPI Profile for
SUSAN LACKS

NPI Number
1912015355
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN LACKS
Credentials
M.D.
Primary location
2141 K STREET NW
SUITE 407
WASHINGTON, DC 20037-1810
Phone: (202) 293-8815 Fax: (202) 293-4118
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RM1200X
- Internal Medicine / Magnetic Resonance Imaging (MRI) (Primary)
DC 13189
207RR0500X
- Internal Medicine / Rheumatology
DC 13189

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.