MS. Mary Michele Lackey, P.A.

NPI #1124272745 in Poughkeepsie, New York

Provider Information

NPI Number
1124272745
Entity Type
Individual
Name
MS. Mary Michele Lackey, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.
Enumeration Date
Nov 10, 2008
Last Updated
Nov 10, 2008

Practice Location

Address
17 NOXON ST
ZIP Code
12601-4101
Phone
(845) 471-1540

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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