Individual
EMILY LACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4651 CHARLOTTE PARK DR, CHARLOTTE, NC 28217-1956
(704) 936-5550
Mailing address
4651 CHARLOTTE PARK DR, CHARLOTTE, NC 28217-1956
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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