DAVON LACKIE

SEARCY, AR
NPI1063803567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AR  A004220)
Enumeration Date2015-02-05
Last Update Date2021-10-06
Business Address
DAVON LACKIE
103 WOODLANE DR
SEARCY, AR 72143-6113
Phone number: 501-268-3733
Mailing Address
DAVON LACKIE
103 WOODLANE DR
SEARCY, AR 72143-6113
Phone number:
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