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1023280591
ELIZABETH JANE LACKEY
ATLANTA, GA
NPI
1023280591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN100203)
Enumeration Date
2008-03-25
Last Update Date
2020-05-18
Business Address
Ms. ELIZABETH JANE LACKEY CPNP
1400 TULLIE RD NE
ATLANTA, GA 30329-2309
Phone number: 404-785-2897
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Mailing Address
Ms. ELIZABETH JANE LACKEY CPNP
1400 TULLIE RD NE
ATLANTA, GA 30329-2309
Phone number: 404-785-2897
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