NICOLE LACKOWSKI

AUSTIN, TX
NPI1356448781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  pa02093)
Enumeration Date2006-09-20
Last Update Date2013-03-19
Business Address
-- NICOLE LACKOWSKI P.A.-C
100 WEST DEAN KEETON
AUSTIN, TX 78712
Phone number: 512-475-6635
Mailing Address
-- NICOLE LACKOWSKI P.A.-C
PO BOX 7339
AUSTIN, TX 78713-7339
Phone number: 512-475-6635
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