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1760421663
VICKI LACKEY
MUNSTER, IN
NPI
1760421663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71001103)
Enumeration Date
2006-06-06
Last Update Date
2022-10-03
Business Address
VICKI LACKEY ANP
1950 45TH ST STE 200
MUNSTER, IN 46321-3958
Phone number: 219-912-3376
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Mailing Address
VICKI LACKEY ANP
1950 45TH ST STE 200
MUNSTER, IN 46321-3958
Phone number: 219-912-3376
Copy
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