Organization
MACK MEDICAL MANAGEMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMAR MACK MD (CEO)
(559) 624-6520
Entity
Organization
Contact information
Practice address
820 S AKERS ST STE 120, VISALIA, CA 93277-8306
(559) 365-7147
(559) 625-6004
Mailing address
2423 W GREEN ACRES DR, VISALIA, CA 93291-4342
(559) 624-6520
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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