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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