Individual
PHILIP LACKEY
Active
Individual
PHILIP LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9600341
NC
207RI0200X
Infectious Disease Physician
Primary
9600341
NC
207RI0200X
Infectious Disease Physician
MD20293
SC
Other
Enumeration date
12/19/2005
Last updated
04/14/2023
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