SUSAN LACKEY

PHILADELPHIA, PA
NPI1639386931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA002163L)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- SUSAN LACKEY PAC
3998 RED LION RD
PHILADELPHIA, PA 19114-1436
Phone number: 215-612-3186
Mailing Address
-- SUSAN LACKEY PAC
PO BOX 8500-6335
PHILADELPHIA, PA 19178-0001
Phone number: 215-807-8000
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