JEFFREY N LACKEY

RENEWAL DERMATOLOGY AND MEDSPA PC

Dr JEFFREY N LACKEY is a male medical professional, specializing in Dermatology. He graduated in 2006 from Uniformed Services University Of The Health Sciences.

Contact

RENEWAL DERMATOLOGY AND MEDSPA PC

7512 GARDNER PARK DR
GAINESVILLE
VA
201553414

Tel: 7037539860

JEFFREY N LACKEY Information

Npi 1548302615
Pac Id 9739313180
Professional Enrollment Id I20131018000009
Last Name LACKEY
First Name JEFFREY
Middle Name N
Suffix
Gender M
Credential
Medical School Name UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
Graduation Year 2006
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RENEWAL DERMATOLOGY AND MEDSPA PC
Group Practice Pac Id 8527216993
Number Of Group Practice Members 14
Line 1 Street Address 7512 GARDNER PARK DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GAINESVILLE
State VA
Zip Code 201553414
Phone Number 7037539860
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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