Victoria Lackey M.D.

NPI 1720005374 - Internal Medicine - 207R00000X

NPI Details
NPI 1720005374
Gender Female
Enumeration Date 07/17/2006
Last Updated 12/28/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4525 CAMERON VALLEY PKWY
SUITE 4100
CHARLOTTE NC, 28211-4369, US
Phone (704) 302-9300
Fax (704) 302-9301
Business Location
PO BOX 601643
CHARLOTTE NC, 28260-1643, US
Phone (704) 302-9300
Fax (704) 302-8201
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 9600226
Remove 1720005374 NPI Number
 

According to our database, Dr. Victoria Lackey M.D. NPI is 1720005374, taxonomy code is 207R00000X and license number is 9600226, license state is located at North Carolina. Victoria Lackey M.D. physically located at 4525 Cameron Valley Pkwy, Charlotte NC, 28211-4369. NPI Number Victoria Lackey M.D. has the Individual type.

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1720005374 NPI number is provided on an as is basis without warranty of any kind. 1720005374 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Lackey M.D. are for informational purposes only.