person
Mr. James Dylan Lackey, FNP-BC
Family Nurse Practitioner in Forest Park, Georgia
NPI 1205403151

James Dylan Lackey is a Family Nurse Practitioner based in Forest Park, GA and is specialized in Family. James Dylan Lackey practices in Forest Park, GA and has the professional credentials of FNP-BC. The NPI Number for James Dylan Lackey is 1205403151 and holds a License No. RN282621 (Georgia).

The current practice location address for James Dylan Lackey is 4940 Governors Dr Ste 209, Forest Park, GA and can be reached out via phone at 770-277-1290 and via fax at 770-277-0282.

Location: 4940 Governors Dr Ste 209, Forest Park, GA, 30297-2186
person
Provider Profile Details
NPI Number
1205403151
Provider Name
James Dylan Lackey
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4940 Governors Dr Ste 209, Forest Park, GA, 30297-2186
Phone Number
770-277-1290
Fax Number
770-277-0282
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4940 Governors Dr Ste 209
City
State
Zip
30297-2186
Phone Number
770-277-1290
Fax Number
770-277-0282
person
Provider Business Mailing Address Details
Address
4940 Governors Dr Ste 209
City
State
Zip
30297-2186
Phone Number
770-277-1290
Fax Number
770-277-0282
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN282621 (Georgia)
Definition
Definition to come...
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