Individual
DR. BENJAMIN THOMAS LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
18225 DETROIT AVE, SUITE 106, LAKEWOOD, OH 44107-3321
(330) 635-7450
(815) 417-6462
Mailing address
18225 DETROIT AVE, SUITE 106, LAKEWOOD, OH 44107-3321
(330) 635-7450
(815) 417-6462
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
OH
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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