IAN DAVID LACKEY

VERMILLION, SD
NPI1609325539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0460)
Enumeration Date2016-10-04
Last Update Date2016-10-04
Business Address
-- IAN DAVID LACKEY ATC
414 E CLARK ST
VERMILLION, SD 57069-2307
Phone number: 605-658-5541
Mailing Address
-- IAN DAVID LACKEY ATC
722 LINCOLN ST APT 200
VERMILLION, SD 57069-2401
Phone number: 605-658-5541
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