Individual provider · Type 1 NPI
Michelle Frances Lackovic, MD
General Practice Physician · Charlestown, NH
NPI number
1114169125
Active
Practice location
131 Morningside Ln
Charlestown, NH 03603-4210
Fax (603) 543-0665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 8314 (NH) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1114169125
Michelle Frances Lackovic, MD's National Provider Identifier is 1114169125, issued on Apr 6, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Charlestown, NH. The record was last updated on Apr 6, 2009.