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Individual

ELVIN LACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4662 HORN LAKE RD # 1046, MEMPHIS, TN 38109-5702
(662) 588-1712
Mailing address
4662 HORN LAKE RD # 1046, MEMPHIS, TN 38109-5702
(662) 588-1712

Taxonomy

Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
374700000X
Technician
Primary

Other

Enumeration date
05/20/2026
Last updated
05/29/2026
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