Individual provider · Type 1 NPI

Carlynn Alexandra Lackey

Rehabilitation Practitioner · San Francisco, CA

NPI number 1205494515 Active

Practice location

711 Taraval St
San Francisco, CA 94116-2516

Mailing address

368 Fell St
San Francisco, CA 94102-5144

Other practice locations

  • 368 Fell St, San Francisco, CA 94102-5144 · (415) 861-0828
  • 77 Cortland Ave, San Francisco, CA 94110-5435 · (415) 861-0828

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1205494515

Carlynn Alexandra Lackey's National Provider Identifier is 1205494515, issued on May 31, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Francisco, CA. The record was last updated on May 8, 2025.