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1235240722
MARK A LACKEY
MEMPHIS, TN
NPI
1235240722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 7334)
Enumeration Date
2006-08-31
Last Update Date
2021-01-13
Business Address
Dr. MARK A LACKEY DMD
875 UNION AVE
MEMPHIS, TN 38163-5028
Phone number: 901-448-1883
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Mailing Address
Dr. MARK A LACKEY DMD
875 UNION AVE
MEMPHIS, TN 38163-1421
Phone number: 901-448-1883
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