Individual
MICHELLE FRANCES LACKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
131 MORNINGSIDE LN, CHARLESTOWN, NH 03603-4210
(603) 542-0066
(603) 543-0665
Mailing address
131 MORNINGSIDE LN, CHARLESTOWN, NH 03603-4210
(603) 542-0066
(603) 543-0665
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8314
NH
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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