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1073159620
MARY ANN LACKSON
LEXINGTON, KY
NPI
1073159620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
MARY ANN LACKSON
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 858-253-1686
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Mailing Address
MARY ANN LACKSON
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 858-253-1686
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