Lackey, Mary Katherine
Lackey, Mary Katherine is an individual health care provider with primary practice located at 200 Medical Park Dr Suite 430, Concord NC 28025-2982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lackey, Mary Katherine can be contacted via phone (704) 792-1000.Contact Information
Primary practice address
200 Medical Park Dr Suite 430
Concord NC 28025-2982
Phone: (704) 792-1000
Fax: (704) 792-1004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200172 | North Carolina |
Profile Details
| NPI number | 1578603866 |
|---|---|
| LBN Legal business name | Lackey, Mary Katherine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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