Individual
MICHAEL DANIEL LACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
32 EAST, 1200 TELEGRAPH RD, PONTIAC, MI 48341
(800) 231-1127
Mailing address
3183 SETTLERS PASS, SAGINAW, MI 48603-1193
(989) 780-8422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704334632
MI
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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