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1023008562
ERNEST E LACK
WASHINGTON, DC
NPI
1023008562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: DC MD25987)
Enumeration Date
2005-10-26
Last Update Date
2010-12-02
Business Address
-- ERNEST E LACK MD
110 IRVING ST NW
WASHINGTON, DC 20010-2976
Phone number: 202-877-6190
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Mailing Address
-- ERNEST E LACK MD
1201 SEVEN LOCKS RD SUITE 200
ROCKVILLE, MD 20854-2931
Phone number: 301-652-5771
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