Coosa Pain and Wellness
NPI #1093147951 in Rainbow City, Alabama
Provider Information
- NPI Number
- 1093147951
- Entity Type
- Organization
- Organization Name
- Coosa Pain and Wellness
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Aug 2, 2013
- Last Updated
- Jun 22, 2018
Practice Location
- Address
- 3804 RAINBOW DR
- City
- Rainbow City
- State
- Alabama
- ZIP Code
- 35906-3051
- Phone
- (256) 952-2200
Authorized Official
- Name
- THOMAS KEVIN LACKEY, MD
- Title
- OWNER
- Phone
- (256) 442-6181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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