Individual
DR. AMY LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6940 LEE HWY, SUITE 108, CHATTANOOGA, TN 37421-2490
(423) 892-4900
Mailing address
60 RICHARD DR, RINGGOLD, GA 30736-8253
(429) 892-4900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4016638
BCBS
TN
Enumeration date
07/07/2005
Last updated
04/08/2019
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