Constance Sue Lackner in Gray - Psychiatric/mental Health
Constance Sue Lackner - NPI 1922068022
Constance Sue Lackner is a Psychiatric/mental Health in Gray, Tennessee. Constance Sue Lackner practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Constance Sue Lackner is 1922068022. The last update date is 2023-04-04.
Constance Sue Lackner's current location address is 1167 Spratlin Park Dr, Gray, Tennessee. You can contact this provider via phone number 4234673600 and fax number 4234673644. The mailing address for Constance Sue Lackner is 1167 Spratlin Park Dr, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance Sue Lackner |
|---|---|
| Address | 1167 Spratlin Park Dr, Gray, Tennessee |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
| Sole Proprietor | N |
| Credentials | MSN APRN B |
NPI Number Detail
| NPI Number | 1922068022 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2023-04-04 |
Provider Mailing Address Detail
| Address | 1167 Spratlin Park Dr |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 376156205 |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | APN07278 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3143910 | TN | BLUE CROSS BLUE SHIELD | |
| 3345085 | TN | -- | |
| 890000552 | RAILROAD PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Constance Sue Lackner by the Centers for Medicare & Medicaid Services?
The Constance Sue Lackner has been assigned the NPI (National Provider Identifier) 1922068022. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Constance Sue Lackner is physically located?
The Constance Sue Lackner is physically situated at the following address: 1167 Spratlin Park Dr, Gray, TN, 376156205.
What is Constance Sue Lackner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Constance Sue Lackner is Psychiatric/mental Health, and the taxonomy classification code that categorizes this area of expertise is 363Lp0808X.
When did the Constance Sue Lackner receive its 1922068022?
The Constance Sue Lackner was issued its 1922068022 on 2006-03-24, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Constance Sue Lackner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Constance Sue Lackner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-04.
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