Individual
ERIKA NICOLE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 CRAWFORD ST STE 105, PORTSMOUTH, VA 23704-2832
(757) 399-4700
(757) 399-0011
Mailing address
2145 MYSTIC COVE DR, VIRGINIA BEACH, VA 23455-2961
(757) 651-5922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557450
VA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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