Lackey, Taylor

Lackey, Taylor is an individual health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lackey, Taylor can be contacted via phone (920) 720-2300.

Contact Information

Primary practice address
1095 Midway Rd Menasha WI 54952-1115
Phone: (920) 720-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 15030 Wisconsin

Profile Details

NPI number 1083479539
LBN Legal business name Lackey, Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2024
Last updated Feb 14th, 2024 - about 9 months 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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