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Individual

MRS. BRANDY MARIE LACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, FNP-C

Contact information

Practice address
500 CAHABA PARK CIR STE 100, BIRMINGHAM, AL 35242-8136
(205) 848-2273
(205) 848-2915
Mailing address
500 CAHABA PARK CIR STE 100, BIRMINGHAM, AL 35242-8136
(205) 848-2273
(205) 848-2915

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-096475
AL
363LF0000X
Family Nurse Practitioner
9467161
FL

Other

Enumeration date
12/11/2017
Last updated
05/23/2021
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