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1477515294
MICHAEL D LACK
JONESBORO, AR
NPI
1477515294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: AR C5420)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL D LACK M.D.
4334 E HIGHLAND DR
JONESBORO, AR 72401-6621
Phone number: 870-802-0012
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Mailing Address
Dr. MICHAEL D LACK M.D.
4334 E HIGHLAND DR
JONESBORO, AR 72401-6621
Phone number: 870-802-0012
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