Search › Illinois › 122300000X
Matthew Lackney, DMD
NPI 1558509653 · on the registry since 2009 · sole proprietor
Practice
- Address
- 775 Waukegan Rd
Suite 200
Deerfield, IL 60015 - Phone
- (847) 267-9440
- Fax
- (800) 434-7113
- Organisation at this address
- Ej Vision, Inc.
Vesna Simic, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-27
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 Illinois