Michael David Lack, O.D.
NPI #1538119516 in Plattsburgh, New York
Provider Information
- NPI Number
- 1538119516
- Entity Type
- Individual
- Name
- Michael David Lack, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- May 11, 2006
- Last Updated
- Jun 30, 2020
Practice Location
- Address
- 450 MARGARET ST
- City
- Plattsburgh
- State
- New York
- ZIP Code
- 12901-1755
- Phone
- (518) 566-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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