DAVID EDWARD LACKEY

LOUISVILLE, KY
NPI1922755909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3015534)
Enumeration Date2022-03-09
Last Update Date2022-03-09
Business Address
DAVID EDWARD LACKEY APRN
4003 KRESGE WAY STE 410
LOUISVILLE, KY 40207-4652
Phone number: 502-893-7462
Mailing Address
DAVID EDWARD LACKEY APRN
5725 WAVELAND CIR
PROSPECT, KY 40059-8666
Phone number: 704-806-5905
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