Lackey, Rachael Clark

Lackey, Rachael Clark is an individual health care provider with primary practice located at 4681 Us Highway 84 Byp W , Thomasville GA 31792-2607. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lackey, Rachael Clark can be contacted via phone (229) 227-2936.

Contact Information

Primary practice address
4681 Us Highway 84 Byp W Thomasville GA 31792-2607
Phone: (229) 227-2936
Fax: (229) 226-2036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9297951 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN224594 Georgia

Profile Details

NPI number 1780922849
LBN Legal business name Lackey, Rachael Clark
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Oct 6th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780922849 NPPES
Florida Other ARNP9297951 FLORIDA DEPARTMENT OF HEALTH
Florida Other RN224594 FLORIDA DEPARTMENT OF HEALTH

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