Active NPIIndividual providerSole proprietor

Michelle F Lackovic, MD

General Practice in Charlestown, New Hampshire

NPI Number1114169125
Practice location
131 Morningside Ln, Charlestown, NH 03603-4210
Fax
603-543-0665
Last updated
April 6, 2009

Michelle Frances Lackovic is a General Practice based in Charlestown, NH. Michelle Frances Lackovic practices in Charlestown, NH and has the professional credentials of MD. The NPI Number for Michelle Frances Lackovic is 1114169125 and holds a License No. 8314 (NH). The current practice location address for Michelle Frances Lackovic is 131 Morningside Ln, Charlestown, NH 03603-4210 and can be reached out via phone at 603-542-0066 and via fax at 603-543-0665.

Provider Profile Details

NPI Number
1114169125
Provider Name
Michelle Frances Lackovic
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
131 Morningside Ln, Charlestown, NH 03603-4210
Phone Number
603-542-0066
Fax Number
603-543-0665
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2009
Last Update Date
April 6, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Morningside Ln
Charlestown, NH 03603-4210
Zip
03603-4210
Phone Number
603-542-0066
Fax Number
603-543-0665
Charlestown, NH 03603Get directions →

Provider Business Mailing Address Details

Address
131 Morningside Ln
Charlestown, NH 03603-4210
City
Charlestown
State
NH
Zip
03603-4210
Phone Number
603-542-0066
Fax Number
603-543-0665

License Information

License Number
8314
License State
NH
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle F Lackovic, MD?

The NPI number of Michelle F Lackovic, MD is 1114169125. It was assigned on April 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Michelle F Lackovic, MD?

Michelle F Lackovic, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NH under license number 8314.

Where does Michelle F Lackovic, MD practice?

The practice location is 131 Morningside Ln, Charlestown, NH 03603-4210. The office can be reached at 603-542-0066 (phone) or 603-543-0665 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114169125 directly on the NPPES registry website.

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