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Individual
RACHAEL CLARK LACKEY
Active
Individual
RACHAEL CLARK LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN224594
GA
363LP0200X
Pediatric Nurse Practitioner
ARNP9297951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9297951
FLORIDA DEPARTMENT OF HEALTH
FL
01
—
RN224594
GA LICENSE
GA
Enumeration date
01/24/2013
Last updated
10/06/2017
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