Individual
MS. ELIZABETH JANE LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102
(404) 785-2897
(404) 785-2611
Mailing address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102
(404) 785-2897
(404) 785-2611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN100203
GA
Other
Enumeration date
03/25/2008
Last updated
11/06/2025
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