Individual
EMMA LOU LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 N LAKE DR, PRESTONSBURG, KY 41653-1293
(606) 263-1552
Mailing address
1428 N LAKE DR, PRESTONSBURG, KY 41653-1293
(606) 263-1552
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
101917
KY
Other
Enumeration date
12/15/2021
Last updated
01/27/2022
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