Individual
BRYCE C LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(828) 757-5100
Mailing address
158 FESS LITTLE RD, TAYLORSVILLE, NC 28681-6651
(704) 437-1533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6224
NC
Other
Enumeration date
09/04/2019
Last updated
04/05/2022
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