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Individual

DR. RICHARD MALONE LACKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5587 MURRAY RD, SUITE 200, MEMPHIS, TN 38119-3885
(901) 685-7166
(901) 685-1780
Mailing address
5587 MURRAY RD, SUITE 200, MEMPHIS, TN 38119-3885
(901) 685-7166
(901) 685-1780

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7427
TN

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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