Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Robert Jordan Lakko, DO

Individual provider Family Medicine Physician · NPI 1174756340

Mr. Robert Jordan Lakko, DO is a Family Practice in Kingman, Arizona. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2009, 17 years ago. Practices with Coeur D Alene Primary Care PLLC, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Montana.

Years since qualifying
17
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
ID, MT
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (928) 681-8577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1090 W Park Pl, Coeur D Alene, ID 83814-2785 — (208) 292-0292

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0886 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20300 (MT)

Record details

NPI number1174756340
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 3, 2009
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing addressPo Box 3648, Coeur D Alene, ID 83816-2522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2009 (17 years in practice)
Group practice Coeur D Alene Primary Care Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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