THADDEUS LACKEY

OWOSSO, MI
NPI1740954049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156F00000X Technician/Technologist
Enumeration Date2021-08-02
Last Update Date2021-08-02
Business Address
THADDEUS LACKEY
1484 N M 52
OWOSSO, MI 48867-1235
Phone number: 770-373-5822
Mailing Address
THADDEUS LACKEY
1484 N M 52
OWOSSO, MI 48867-1235
Phone number: