Individual
LISKA H LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
590 MANNING DR, CHAPEL HILL, NC 27599-7596
(919) 968-2796
(888) 330-0461
Mailing address
590 MANNING DR, CHAPEL HILL, NC 27599-7596
(919) 968-2796
(888) 330-0461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0200640
NC
Other
Enumeration date
11/30/2006
Last updated
03/31/2021
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