Thaddeus Lackey is a Technician/Technologist based in Owosso, MI. Thaddeus Lackey practices in Owosso, MI. The NPI Number for Thaddeus Lackey is 1740954049 and holds a License No. (Michigan).
The current practice location address for Thaddeus Lackey is 1484 N M 52, Owosso, MI and can be reached out via phone at 770-373-5822.
Location: 1484 N M 52, Owosso, MI, 48867-1235
Provider Profile Details
NPI Number
1740954049
Provider Name
Thaddeus Lackey
Credential
Provider Entity Type
Individual
Gender
Male
Address
1484 N M 52, Owosso, MI, 48867-1235
Phone Number
770-373-5822
Fax Number
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1484 N M 52
City
State
Zip
48867-1235
Phone Number
770-373-5822
Fax Number
Provider Business Mailing Address Details
Address
1484 N M 52
City
State
Zip
48867-1235
Phone Number
770-373-5822
Fax Number
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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