| Doctor Name: | KELLEY ELAINE LAKATOS |
| NPI Number: | 1346207636 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | MA051966 |
| Business Practice Address: | 709 Delaware Ave Fountain Hill, PA - 180151107 |
| Business Phone Number: | 6109543890 |
| Business Fax Number: | 6109543046 |
| Mailing Address: | 801 Ostrum Street, BETHLEHEM |
| State: | PA |
| Postal Code: | 180151000 |
| Phone Number: | 6109544000 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 01/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA051966 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |