Individual
DR. MATTHEW W LACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 60015-4342
(847) 267-9440
(800) 434-7113
Mailing address
775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 60015-4342
(847) 267-9440
(800) 434-7113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.019889
OH
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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