Carol Lackedy

NPI #1407539265 in Windham, Maine

Provider Information

NPI Number: 1407539265
Entity Type: Individual
Name: Carol Lackedy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Aug 9, 2023
Last Updated: Aug 9, 2023

Practice Location

Address: 17 MALLISON FALLS RD
City: Windham
State: Maine
ZIP Code: 04062-4101
Phone: (207) 592-0810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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