Individual
SARAH LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 635-3744
Mailing address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 635-3744
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704307343
MI
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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