KEVIN LACK, P.A.-C
Physician Assistant - Surgical
Active
Individual
NPI: 1417924028
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 4292 (GA) |
Frequently Asked Questions
NPI 1417924028 is the National Provider Identifier for KEVIN LACK, P.A.-C, a Physician Assistant - Surgical provider located in Augusta, GA. This NPI was enumerated on March 2, 2006.
KEVIN LACK, P.A.-C practices at 3675 J DEWEY GRAY CIRCLE, SUITE 300, Augusta, GA 30909.
Quick Facts
- NPI
- 1417924028
- Type
- Individual
- Enumerated
- Mar 2, 2006
- Last Updated
- Mar 10, 2025
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