BRIAN MITCHEL LACKEY

GASTONIA, NC
NPI1912090770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: NC  138742)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Mr. BRIAN MITCHEL LACKEY RN
991 WEST HUDSON BLVD
GASTONIA, NC 28052
Phone number: 704-853-5083
Mailing Address
Mr. BRIAN MITCHEL LACKEY RN
991 WEST HUDSON BLVD
GASTONIA, NC 28052
Phone number: 704-853-5083
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