Individual
MR. JAMES DYLAN LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1438 W PEACHTREE ST NW, ATLANTA, GA 30309-2998
(470) 283-7349
(833) 689-2507
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(234) 677-1193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN282621
GA
Other
Enumeration date
06/09/2021
Last updated
05/06/2024
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