Michael D Lack Od
NPI #1831246958 in Plattsburgh, New York
Provider Information
- NPI Number
- 1831246958
- Entity Type
- Organization
- Organization Name
- Michael D Lack Od
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Oct 25, 2011
Practice Location
- Address
- 292 CORNELIA ST BLDG 2
- City
- Plattsburgh
- State
- New York
- ZIP Code
- 12901-2303
- Phone
- (518) 563-7400
Authorized Official
- Name
- MICHAEL DAVID LACK, O.D.
- Title
- OWNER
- Phone
- (518) 563-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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