Individual
HEATHER TAYLOR LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2920 FORESTVILLE RD STE 100, RALEIGH, NC 27616-8774
(860) 882-7525
Mailing address
4687 BLAIR DR, LENOIR, NC 28645-3535
(828) 320-6437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169725
NC
363LF0000X
Family Nurse Practitioner
Primary
5011876
NC
Other
Enumeration date
05/07/2019
Last updated
02/01/2023
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