Gaylin Lack, M.D.

NPI #1881700714 in Mattoon, Illinois

Provider Information

NPI Number: 1881700714
Entity Type: Individual
Name: Gaylin Lack, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Aug 22, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 500 HEALTH CENTER DR
Address 2: SUITE 101
City: Mattoon
State: Illinois
ZIP Code: 61938-9258
Phone: (217) 238-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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