Lackey, Melissa M
Lackey, Melissa M is an individual health care provider with primary practice located at 810 Main St , Melrose MA 02176-2711. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Lackey, Melissa M can be contacted via phone (781) 662-6228.Contact Information
Primary practice address
810 Main St
Melrose MA 02176-2711
Phone: (781) 662-6228
Fax: (781) 622-4455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 19457 | Massachusetts |
Profile Details
| NPI number | 1386635514 |
|---|---|
| LBN Legal business name | Lackey, Melissa M |
| Credentials | D.M.D.,M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2005 |
| Last updated | Apr 13th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386635514 | NPPES |
| Massachusetts | Other | 16806 | PILGRIM |
| Massachusetts | Other | 791536 | PILGRIM |
| Massachusetts | Other | X08852 | PILGRIM |
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