Individual
JILLIAN LACKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2375 GREENTREE RD, CARNEGIE, PA 15106-4203
(412) 276-1560
(412) 276-5805
Mailing address
701 TECHNOLOGY DR STE 150, CANONSBURG, PA 15317-9531
(412) 531-2902
(412) 531-2948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN627815
PA
363LF0000X
Family Nurse Practitioner
Primary
SP015027
PA
Other
Enumeration date
03/10/2015
Last updated
07/06/2023
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