Mary Kate Lackey

NPI #1366204349 in Tallassee, Alabama

Provider Information

NPI Number: 1366204349
Entity Type: Individual
Name: Mary Kate Lackey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 25, 2024
Last Updated: Jan 25, 2024

Practice Location

Address: 936 DARK CORNERS RD
City: Tallassee
State: Alabama
ZIP Code: 36078-4281
Phone: (334) 415-2182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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