Dr BRANDY MARIE LACKEY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
MAGNOLIA MEDICAL CLINIC P.A.
319 GREEN ACRES RD
SUITE 101
FORT WALTON BEACH
FL
325471170
Tel: 8502437681
Npi | 1558876656 |
Pac Id | 9537429840 |
Professional Enrollment Id | I20180206002138 |
Last Name | LACKEY |
First Name | BRANDY |
Middle Name | MARIE |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | MAGNOLIA MEDICAL CLINIC P.A. |
Group Practice Pac Id | 8325185473 |
Number Of Group Practice Members | 8 |
Line 1 Street Address | 319 GREEN ACRES RD |
Line 2 Street Address | SUITE 101 |
Marker Of Address Line 2 Suppression | |
City | FORT WALTON BEACH |
State | FL |
Zip Code | 325471170 |
Phone Number | 8502437681 |
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 |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.