Individual
JOSEPH WILLIAM LACKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-3401
Mailing address
209 3RD ST S, VIRGINIA, MN 55792-2619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15633
MN
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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