Individual
AMANDA LACKAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(954) 939-5409
Mailing address
214 BELLEMEADE ST APT 508, GREENSBORO, NC 27401-3068
(845) 656-6267
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128712
FL
367500000X
Certified Registered Nurse Anesthetist
6512
NC
Other
Enumeration date
09/27/2019
Last updated
10/07/2025
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