Individual provider · Type 1 NPI

Holly Marie Lackey, RN

Pediatric Registered Nurse · Ben Wheeler, TX

NPI number 1407400666 Active

Practice location

176 Vzcr 4714
Ben Wheeler, TX 75754-0422

Call (903) 279-6547 Map

Mailing address

PO Box 422
Ben Wheeler, TX 75754-0422

Specialties and licenses

Taxonomy	Code	License
Pediatric Registered Nurse Primary	163WP0200X	795338 (TX)

Pediatric Registered Nurse: Definition to come...

About NPI 1407400666

Holly Marie Lackey, RN's National Provider Identifier is 1407400666, issued on Jul 26, 2019. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Ben Wheeler, TX. The record was last updated on Jul 26, 2019.