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1548755432
DANIEL JAMES LACKEY
WINSTON SALEM, NC
NPI
1548755432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5010621)
Enumeration Date
2018-06-25
Last Update Date
2023-08-10
Business Address
DANIEL JAMES LACKEY NP
1287 CREEKSHIRE WAY
WINSTON SALEM, NC 27103-3057
Phone number: 336-245-9521
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Mailing Address
DANIEL JAMES LACKEY NP
PO BOX 360
SYLVA, NC 28779-0360
Phone number: 888-339-6065
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