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Kaitlin Lackey
NPI 1407215361 · on the registry since 2016
Practice
- Address
- 105 Glendalough Court
Suite H
Tyrone, GA 30290 - Phone
- (678) 632-6765
- Fax
- (678) 550-7931
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-02-19
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