Organization
FLORIDA LAKES ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LACKEY II DO (OWNER)
(863) 402-5600
Entity
Organization
Contact information
Practice address
4759 LAKEVIEW DR, SEBRING, FL 33870-2005
(863) 402-5600
(863) 402-5602
Mailing address
4759 LAKEVIEW DR, SEBRING, FL 33870-2005
(863) 402-5600
(863) 402-5602
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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