Ms. Elizabeth Jane Lackey
Nurse Practitioner - Pediatrics
1400 Tullie Rd Ne
Atlanta
, Georgia 30329-2309
Ms. Elizabeth Jane Lackey
Nurse Practitioner - Pediatrics
1400 Tullie Rd Ne
Atlanta
, Georgia 30329-2309
(404) 785-2897
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Elizabeth Jane Lackey
- 1400 Tullie Rd Ne
- Atlanta, GA
- Zip : 30329-2309
- Phone : (404) 785-2897
Second Address
- Ms. Elizabeth Jane Lackey
- 1400 Tullie Rd Ne
- Atlanta, GA
- Zip : 30329-2309
- Phone : (404) 785-2897
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN100203 | GA |
National Provider Identifier
| NPI | 1023280591 |
|---|---|
| Provider Name | Ms. Elizabeth Jane Lackey |
| First Address | Atlanta, GA 30329-2309 |
| Second Address | Atlanta, GA 30329-2309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2008 |
| Last Update Date | 18/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.