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1770522690
GREGORY A LACKIDES
SALEM, OR
NPI
1770522690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD151219)
Enumeration Date
2006-06-06
Last Update Date
2010-05-24
Business Address
-- GREGORY A LACKIDES M.D.
2020 CAPITOL ST NE
SALEM, OR 97303-3244
Phone number: 503-399-2424
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Mailing Address
-- GREGORY A LACKIDES M.D.
PO BOX 8100
SALEM, OR 97303-0900
Phone number: 503-399-2424
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