NPI 1104507888

Lacorscia Mackey, CNA

Practitioner Nurse's Aide Columbus, GA

Practice location

Address: 3210 12th Ave, Columbus, GA 31904-7811
Phone: (706) 587-4436

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CN0030053979 (GA)

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Registry record

NPI: 1104507888
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2023
Record last updated: 26 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.