Individual
CARLYNN ALEXANDRA LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 TARAVAL ST, SAN FRANCISCO, CA 94116-2516
(415) 861-0828
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/08/2025
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