Search › Illinois › 207X00000X
Gaylin Lack, M.D
NPI 1881700714 · on the registry since 2006
Practice
- Address
- 500 Health Center Dr
Suite 101
Mattoon, IL 61938 - Phone
- (217) 238-3435
- Organisation at this address
- Urology Associates, S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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