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ASHLEY COBY LACKEY CRNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1679847487

Individual Registrant:
 ASHLEY COBY LACKEY CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
19707 US HIGHWAY 280 E APT 1309 SMITHS STATION, AL 36877-4031 US
Tel: 256-572-5936  Fax: --

Contact information for business:
19707 US HIGHWAY 280 E APT 1309 SMITHS STATION, AL 36877-4031 US
Tel: 256-572-5936  Fax: --

Registration Information:
NPI: 1679847487
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-122189

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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