Provider Demographics
NPI:1366469199
Name:SAKR, LINA (MD)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:SAKR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GOODLETTE RD STE 270
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5480
Mailing Address - Country:US
Mailing Address - Phone:239-649-7400
Mailing Address - Fax:239-221-0469
Practice Address - Street 1:800 GOODLETTE RD STE 270
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5480
Practice Address - Country:US
Practice Address - Phone:239-649-7400
Practice Address - Fax:239-221-0469
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301058222207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF86692Medicare UPIN