Individual
MR. DAVID LACKENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7331 COLLEGE PKWY STE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Mailing address
5920 TROPICAL DR, FORT MYERS, FL 33919-1729
(239) 565-4443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882708700
—
FL
Enumeration date
07/08/2009
Last updated
10/25/2023
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