Individual
DR. THOMAS C. LACKEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
4759 LAKEVIEW DR, STE 101, SEBRING, FL 33870-2005
(863) 402-5600
(863) 402-5602
Mailing address
4759 LAKEVIEW DR, STE 101, SEBRING, FL 33870-2005
(863) 402-5600
(863) 402-5602
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS10031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279537000
—
FL
Enumeration date
06/28/2006
Last updated
04/09/2017
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