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Search › Pennsylvania › 363A00000X

Susan Lackey, PAC

NPI 1639386931 · on the registry since 2007

Practice

Address
3998 Red Lion Rd
Philadelphia, PA 19114
Phone
(215) 612-3186
Fax
(215) 807-8235
Organisation at this address
Rlq,Llc
Gi Asc Llc
Victor Solon Md Pc
Cajulis Pediatrics
Joel P Miller Do Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
161

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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