MR. Adam Coy Lacks, CSFA, CST

NPI #1255772646 in Fresno, Texas

Provider Information

NPI Number
1255772646
Entity Type
Individual
Name
MR. Adam Coy Lacks, CSFA, CST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CSFA, CST
Enumeration Date
Jul 13, 2013
Last Updated
Jul 13, 2013

Practice Location

Address
2115 VERMILLION OAK ST
City
Fresno
State
Texas
ZIP Code
77545-2063
Phone
(713) 410-4042

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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