Joseph William Lackner, PA-C
NPI #1073477089 in Grand Rapids, Minnesota
Provider Information
- NPI Number
- 1073477089
- Entity Type
- Individual
- Name
- Joseph William Lackner, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 13, 2025
- Last Updated
- Dec 13, 2025
Practice Location
- Address
- 1601 GOLF COURSE RD
- City
- Grand Rapids
- State
- Minnesota
- ZIP Code
- 55744-8648
- Phone
- (218) 326-3401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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