Individual
MS. DEBORAH DELORES LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1346 LINCOLN AVE, CINCINNATI, OH 45206
(513) 861-2044
Mailing address
1346 LINCOLN AVE, CINCINNAN, OH 45206
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN087437-M-IV
OH
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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