Individual
AMBER LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6527 COLERAIN AVE, CINCINNATI, OH 45239-5537
(513) 834-7063
(513) 873-1567
Mailing address
615 ELSINORE PL STE 300, CINCINNATI, OH 45202-1475
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.395444
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356590
—
OH
Enumeration date
06/21/2019
Last updated
06/25/2021
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