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ASHLEY COBY LACKEY CRNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1679847487
Individual Registrant: ASHLEY COBY LACKEY CRNP
Gender: F
Not Sole Proprietor
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: --
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: --
Tel: 256-572-5936 Fax: --
Registration Information:
NPI: 1679847487
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AL | 1-122189 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
