Individual
DR. MELISSA M LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.,M.D.
Contact information
Practice address
810 MAIN ST, MELROSE, MA 02176-2711
(781) 662-6228
(781) 622-4455
Mailing address
810 MAIN ST, MELROSE, MA 02176-2711
(781) 662-6228
(781) 622-4455
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16806
PILGRIM
MA
01
—
791536
TUFTS
MA
01
—
X08852
BCBS
MA
Enumeration date
11/05/2005
Last updated
09/17/2025
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