Sidney Lakusta-Wong
Sidney Lakusta-Wong is a Pediatrics Physician in Phoenix, Arizona. Licensed in Arizona and California. Registered with an NPI since 2018.
- Licensed in
- AZ, CA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone: (602) 344-5011
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 68487 (AZ) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence A163866 (CA) |
Record details
| NPI number | 1346730751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 11, 2018 |
| Last updated in NPPES | February 24, 2023 |
| Certification date | February 24, 2023 |
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