Kevin Lack is a Surgical in Augusta, Georgia. Kevin Lack practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kevin Lack is 1417924028. The last update date is 2022-06-03.
Kevin Lack's current location address is Po Box 3726, Augusta, Georgia. You can contact this provider via phone number 7068639595 and fax number 8887453917. The mailing address for Kevin Lack is Po Box 3726, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Lack |
|---|---|
| Address | Po Box 3726, Augusta, Georgia |
| Phone Number | 7068639595 |
| Fax Number | 8887453917 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1417924028 |
|---|---|
| Provider Enumeration Date | 2006-03-02 |
| Last Updated Date | 2022-06-03 |
Provider Mailing Address Detail
| Address | Po Box 3726 |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309143726 |
| Phone Number | 7068639595 |
| Fax Number | 8887453917 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA-1765 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kevin Lack by the Centers for Medicare & Medicaid Services (CMS)?
The Kevin Lack has been assigned the NPI (National Provider Identifier) 1417924028. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kevin Lack is physically located?
The Kevin Lack is physically situated at the following address: Po Box 3726, Augusta, GA, 309143726.
What is Kevin Lack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Lack's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
When did Kevin Lack receive its 1417924028 assignment?
The Kevin Lack was assigned its 1417924028 on 2006-03-02, which is the date when this unique identifier was issued to the organization.
When was the Kevin Lack's information last updated?
The Kevin Lack's information was last updated on 2022-06-03.