ELIJAH AUSTIN LACKEY

FORT COLLINS, CO
NPI1821594219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: CO  2022-00049)
Enumeration Date2018-04-04
Last Update Date2026-08-13
Business Address
ELIJAH AUSTIN LACKEY MD
2121 E HARMONY RD
FORT COLLINS, CO 80528-3400
Phone number: 970-226-6111
Mailing Address
ELIJAH AUSTIN LACKEY MD
2121 E HARMONY RD UNIT 180
FORT COLLINS, CO 80528-3401
Phone number: 970-226-6111
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