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Tarrence Lackran

NPI 1528303211 · on the registry since 2012

Practice

Address
31 Waln St
Wellsboro, PA 16901
Phone
(570) 724-3894

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-12-06

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 Pennsylvania