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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ESSIE B MACK, M.T.

Active Sole Proprietor

Medical Technologist · DENHAM SPRINGS, LA

Registration Details

NPI Number
1124224142
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2007 (18.823777654604 yrs)
Last Updated
Jul 8, 2007
License
CLP.G00606-GEN (LA)
Sole Proprietor
Yes

Practice Information

Address
1567 S RANGE AVE
DENHAM SPRINGS, LA, 707265201
Browse LA providers · Browse ZIP 70726
Phone
2256653500
Fax
2256653518
Primary Specialty
Medical Technologist
246QM0706X
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.