DENISE LACK, N.P.
Nurse Practitioner
Active
Individual
NPI: 1104839414
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | RN392072 (CA) |
Frequently Asked Questions
NPI 1104839414 is the National Provider Identifier for DENISE LACK, N.P., a Nurse Practitioner provider located in Jackson, CA. This NPI was enumerated on August 15, 2006.
DENISE LACK, N.P. practices at 100 MISSION BLVD, SUITE 2600, Jackson, CA 95642.
Quick Facts
- NPI
- 1104839414
- Type
- Individual
- Enumerated
- Aug 15, 2006
- Last Updated
- Jul 10, 2015
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