Individual provider · Type 1 NPI
Brian Mitchel Lackey, RN
Community Health Registered Nurse · Gastonia, NC
NPI number
1912090770
Active
Practice location
991 West Hudson Blvd
Gastonia, NC 28052
Fax (704) 853-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 138742 (NC) |
Community Health Registered Nurse: Definition to come...
2 other providers at this address
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About NPI 1912090770
Brian Mitchel Lackey, RN's National Provider Identifier is 1912090770, issued on Oct 2, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Gastonia, NC. The record was last updated on Jul 8, 2007.