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1104920628
CYNTHIA K LACK
MARQUETTE, MI
NPI
1104920628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301042623)
Enumeration Date
2006-09-13
Last Update Date
2007-07-09
Business Address
Dr. CYNTHIA K LACK MD
425 FISHER ST
MARQUETTE, MI 49855-4521
Phone number: 906-226-4618
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Mailing Address
Dr. CYNTHIA K LACK MD
124 E MAGNETIC ST
MARQUETTE, MI 49855-3045
Phone number: 906-228-5146
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