Individual
MR. DONALD WAYNE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 TAMIAMI TRL S, VENICE, FL 34293-5001
(941) 493-7768
(941) 492-6599
Mailing address
1900 TAMIAMI TRL S, VENICE, FL 34293-5001
(941) 493-7768
(941) 492-6599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10092
FL
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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