Jody Hannah Lack, MD
NPI #1235351818 in Springfield, Illinois
Provider Information
- NPI Number
- 1235351818
- Entity Type
- Individual
- Name
- Jody Hannah Lack, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- MD
- Enumeration Date
- May 3, 2007
- Last Updated
- Jan 13, 2011
Practice Location
- Address
- 415 N 9TH ST
- Address 2
- STE 4W64
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-5303
- Phone
- (217) 545-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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