Payton Lack, AUD

NPI 1043901390 · on the registry since 2023 · sole proprietor

Practice

Address: 660 Lanier Park Dr Ste E
Gainesville, GA 30501
Phone: (678) 971-4647
Organisation at this address: Ahp - Gastro Gainesville, Llc
Northeast Georgia Urological Assoc., P.C.
Northeast Georgia Urological Surgery Center, Llc
North Georgia Audiology And Hearing Aid Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 231H00000X
231H00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia