Individual
JUANITA LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 BURNET AVE, CINCINNATI, OH 45219-2551
(513) 363-0000
Mailing address
2651 BURNET AVE, CINCINNATI, OH 45219-2551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.16599
OH
Other
Enumeration date
08/14/2025
Last updated
08/19/2025
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