Amanda Lackey

NPI #1023808466 in Corvallis, Oregon

Provider Information

NPI Number: 1023808466
Entity Type: Individual
Name: Amanda Lackey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 8, 2025
Last Updated: May 8, 2025

Practice Location

Address: 203 PHARMACY BLDG
City: Corvallis
State: Oregon
ZIP Code: 97331-8537
Phone: (541) 737-3424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

Additional Practice Locations

2025 Quail Run Ave

Stayton, OR, 97383-9537

(503) 800-1307

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