Individual
BRANIMIR A. LACKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 S FRONT ST STE 505, MARQUETTE, MI 49855
(906) 225-4520
Mailing address
101 S FRONT ST STE 505, MARQUETTE, MI 49855-4641
(906) 225-4520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DT2286
HI
1223E0200X
Endodontics
Primary
2901022629
MI
Other
Enumeration date
01/29/2007
Last updated
06/19/2018
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