Bruce Lackie (NPI# 1629189824, PAC ID# 4688621477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
|Nation Provider ID (NPI)||1629189824|
|PAC ID by PECOS||4688621477|
|Professional Enrollment ID||I20070323000315|
|Full Name||Bruce Lackie|
56 Taylor Rd
|Primary Specialty||CLINICAL SOCIAL WORKER|
|Accepts Medicare Assignment||Y|
|56 Taylor Rd, Orono, ME 04473-3205||2079443982|
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|Data Provider||Centers for Medicare & Medicaid Services (CMS)|
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.