Individual
LYNN T. LACKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
116 TILLSON AVENUE, KNOX COUNTY CDS, ROCKLAND, ME 04841
(207) 594-5933
Mailing address
418 WASHINGTON RD, WALDOBORO, ME 04572-5733
(207) 594-5933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
ME342411
ME
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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