DONALD WAYNE LACKEY

VENICE, FL
NPI1447426564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  10092)
Enumeration Date2008-05-08
Last Update Date2008-05-08
Business Address
Mr. DONALD WAYNE LACKEY DDS
1900 TAMIAMI TRL S
VENICE, FL 34293-5001
Phone number: 941-493-7768
Mailing Address
Mr. DONALD WAYNE LACKEY DDS
1900 TAMIAMI TRL S
VENICE, FL 34293-5001
Phone number: 941-493-7768