Individual
SAMANTHA LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217-F NC HIGHWAY 16, CONOVER, NC 28613
(828) 469-6068
Mailing address
149 PLANTATION RIDGE DR STE 140, MOORESVILLE, NC 28117-9175
(704) 230-0007
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1609
NC
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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