Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL D LACK, M.D.
ActiveDR. MICHAEL D LACK, M.D. is a Occupational Medicine healthcare provider located in JONESBORO, Arkansas. NPI 1477515294 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · JONESBORO, AR
Registration Details
- NPI Number
- 1477515294
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2006 (20.377355956264 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C5420 (AR)
Practice Information
- Address
-
4334 E HIGHLAND DRJONESBORO, AR, 724016621Browse AR providers · Browse ZIP 72401
- Phone
- 8708020012
- Fax
- 8709725140
- Primary Specialty
-
Occupational Medicine
2083X0100X
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.