# MACK MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417654013
- **Authorized official:** LAMAR MACK MD (CEO)
- **Authorized official phone:** (559) 624-6520

## Contact information

- **Practice address:** 820 S AKERS ST STE 120, VISALIA, CA 93277-8306
- **Practice address phone:** (559) 365-7147
- **Practice address fax:** (559) 625-6004
- **Mailing address:** 2423 W GREEN ACRES DR, VISALIA, CA 93291-4342
- **Mailing address phone:** (559) 624-6520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2023
- **Last updated:** 02/14/2023