Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENISE LACK, N.P.
ActiveDENISE LACK, N.P. is a Nurse Practitioner healthcare provider located in JACKSON, California. NPI 1104839414 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · JACKSON, CA
Registration Details
- NPI Number
- 1104839414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2006 (19.955987145761 yrs)
- Last Updated
- Jul 10, 2015
- License
-
RN392072 (CA)
Practice Information
- Address
-
100 MISSION BLVDSUITE 2600JACKSON, CA, 956422536Browse CA providers · Browse ZIP 95642
- Phone
- 2092571722
- Fax
- 2092571726
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in JACKSON, CA
| Name | Credential | NPI |
|---|---|---|
| LINDA MARIE COLLIFLOWER | RNC,NP | 1265670384 |
| MS. JULIA ANN SHELBY | NP | 1700118387 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.