GAYLE LACKS

Dr GAYLE LACKS is a female medical professional, specializing in Psychiatry. She graduated in 1986 from Temple University School Of Medicine.

Contact

711 W AVE
SUITE 2
JENKINTOWN
PA
190462709

Tel: 2155767933

GAYLE LACKS Information

Npi 1265651152
Pac Id 8921273269
Professional Enrollment Id I20111214000809
Last Name LACKS
First Name GAYLE
Middle Name
Suffix
Gender F
Credential
Medical School Name TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 711 W AVE
Line 2 Street Address SUITE 2
Marker Of Address Line 2 Suppression
City JENKINTOWN
State PA
Zip Code 190462709
Phone Number 2155767933
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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