Individual
ERNEST E LACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(202) 877-6190
(202) 877-3820
Mailing address
1201 SEVEN LOCKS RD, SUITE 200, ROCKVILLE, MD 20854-2931
(301) 652-5771
(301) 652-6332
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD25987
DC
Other
Enumeration date
10/26/2005
Last updated
12/02/2010
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