1417955584 Mr. Edward B Lack, MD
Dermatology Physician
Active
Basic Information
- Full Name
- Mr. Edward B Lack, MD
- Gender
- Male
- Enumeration Date
- July 12, 2005
- Last Update
- November 15, 2016
Practice Location
- Address
- 540 MEDICAL OAKS AVE
SUITE 102
BRANDON, FL 335115995 - Phone
- (813) 651-1991
- Fax
- (813) 651-1401
Mailing Address
- Address
- 151 SOUTHHALL LN
SUITE 300
MAITLAND, FL 327517176 - Phone
- (407) 875-2080
- Fax
- (407) 650-3544
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Dermatology | 036-043409 | IL | Primary |
| Dermatology Physician | 207N00000X | Dermatology | ME114654 | FL | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021603804 | 01 | N/A | BCBS |
Frequently Asked Questions
What is Mr. Edward B Lack, MD's NPI number?
Mr. Edward B Lack, MD's NPI number is 1417955584.
Which doctor has NPI number 1417955584?
The doctor with NPI number 1417955584 is Mr. Edward B Lack, MD.
What is Mr. Edward B Lack, MD's practice address?
Mr. Edward B Lack, MD's practice address is 540 MEDICAL OAKS AVE, SUITE 102, BRANDON, FL, 335115995.
Which doctor practices at 540 MEDICAL OAKS AVE, SUITE 102, BRANDON, FL, 335115995?
Mr. Edward B Lack, MD practices at 540 MEDICAL OAKS AVE, SUITE 102, BRANDON, FL, 335115995.
What is Mr. Edward B Lack, MD's mailing address?
Mr. Edward B Lack, MD's mailing address is 151 SOUTHHALL LN, SUITE 300, MAITLAND, FL, 327517176.
What is Mr. Edward B Lack, MD's phone number?
Mr. Edward B Lack, MD's phone number is (813) 651-1991.
Who is (813) 651-1991?
(813) 651-1991 is the phone number for Mr. Edward B Lack, MD.
What is Mr. Edward B Lack, MD's specialty?
Mr. Edward B Lack, MD's specialty is Dermatology Physician.
What type of doctor is Mr. Edward B Lack, MD?
Mr. Edward B Lack, MD is a Dermatology Physician.
Is Mr. Edward B Lack, MD a Dermatology?
Yes, Mr. Edward B Lack, MD is a Dermatology.
Is Mr. Edward B Lack, MD still practicing?
Yes, Mr. Edward B Lack, MD is currently practicing.
Is Mr. Edward B Lack, MD accepting new patients?
Mr. Edward B Lack, MD may be accepting new patients. Please call their office at (813) 651-1991 to inquire about availability.
Is NPI 1417955584 still active?
Yes, NPI 1417955584 is currently active.
Where does Mr. Edward B Lack, MD practice?
Mr. Edward B Lack, MD practices in BRANDON, FL.
Is Mr. Edward B Lack, MD a male or female doctor?
Mr. Edward B Lack, MD is a male doctor.