Most Relevant Information
Provider Data
| NPI Number: | 1003501628 |
| Provider Name: | ANNA LACKEY DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2023 |
| Last Updated: | 04/10/2023 |
Provider Practice Location
1600 ROCKLAND RD STE 3D16
WILMINGTON
DE
198033607
Practice Location Phone/Fax
| Phone: | 3026515874 |
| Fax: | 3026515954 |
Provider Mailing Location
1600 ROCKLAND RD STE 3D16
WILMINGTON
DE
198033607
Provider Mailing Phone/Fax
| Phone: | 3026515874 |
| Fax: | 3026515954 |