Individual
JEFFERY LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2343 2ND AVE E, SUITE H, ONEONTA, AL 35121-2756
(205) 353-7732
Mailing address
2343 2ND AVE E, SUITE H, ONEONTA, AL 35121-2756
(205) 353-7732
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
02/03/2024
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