BRANDY MARIE LACKEY

MAGNOLIA MEDICAL CLINIC P.A.

Dr BRANDY MARIE LACKEY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

MAGNOLIA MEDICAL CLINIC P.A.

319 GREEN ACRES RD
SUITE 101
FORT WALTON BEACH
FL
325471170

Tel: 8502437681

BRANDY MARIE LACKEY Information

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

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