Whalio Doctors

NPI 1114169125

Michelle Frances Lackovic, MD

Practitioner General Practice Physician Charlestown, NH

Practice location

Address
131 Morningside Ln, Charlestown, NH 03603-4210
Phone
(603) 542-0066
Fax
(603) 543-0665

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 8314 (NH)

Registry record

NPI
1114169125
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Apr 2009
Record last updated
6 Apr 2009

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.