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1841033917
MADISON LACKEY
LUBBOCK, TX
NPI
1841033917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10090140)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
MADISON LACKEY MD
TTUHSC DEPARTMENT OF NEUROLOGY 3601 STREET - STOP 8321
LUBBOCK, TX 79430-0001
Phone number: 989-860-3697
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Mailing Address
MADISON LACKEY MD
TTUHSC DEPARTMENT OF NEUROLOGY 3601 STREET - STOP 8321
LUBBOCK, TX 79430-0001
Phone number: 989-860-3697
Copy
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