Search › California › 1223G0001X
Brian Lackey, D.D.S
NPI 1649326703 · on the registry since 2007 · sole proprietor
Practice
- Address
- 675 Pine Ave
Pacific Grove, CA 93950 - Phone
- (831) 649-1055
- Organisation at this address
- Carrazana, Dds, Apdc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 California