Individual
MARIE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2104 S KING ST, HONOLULU, HI 96826-2232
(808) 949-6608
Mailing address
2104 S KING ST, HONOLULU, HI 96826-2232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4248-21
MS
1223G0001X
General Practice Dentistry
7260
LA
1223G0001X
General Practice Dentistry
Primary
DT-3131
HI
Other
Enumeration date
08/17/2021
Last updated
07/24/2024
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