ELIJAH AUSTIN LACKEY

DURHAM, NC
NPI1821594219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC  2022-00049)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-04
Last Update Date2023-04-28
Business Address
ELIJAH AUSTIN LACKEY MD
2301 ERWIN ROAD
DURHAM, NC 27710
Phone number: 919-684-8111
Mailing Address
ELIJAH AUSTIN LACKEY MD
2301 ERWIN ROAD
DURHAM, NC 27710
Phone number: