MR. Donald Wayne Lackey, DDS

NPI #1447426564 in Venice, Florida

Provider Information

NPI Number: 1447426564
Entity Type: Individual
Name: MR. Donald Wayne Lackey, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 8, 2008
Last Updated: May 8, 2008

Practice Location

Address: 1900 TAMIAMI TRL S
City: Venice
State: Florida
ZIP Code: 34293-5001
Phone: (941) 493-7768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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