MR. Edward B Lack MD

  • NPI 1417955584
According to our database, the NPI number for MR. Edward B Lack MD is 1417955584 and activated since 18 years ago. MR. Edward B Lack MD is an individual provider who specializes in Dermatology, and the primary practice location is 540 Medical Oaks Ave, Brandon, FL 33511. You can also contact MR. Edward B Lack MD via telephone number is (813) 651-1991. Provider NPI information was last updated on 11/15/2016.

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Overview of MR. Edward B Lack MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/12/2005
  • Last updated: 11/15/2016

Primary Scrop of Practice

  • Taxonomy Code: 207N00000X
  • Specialty: Dermatology
  • License Number: ME114654
  • License State: FL

Provider Mailing Address

  • Address: 151 Southhall Ln
    Suite 300
    Maitland, FL 32751
  • Phone: 407-875-2080
  • Fax: 407-650-3544

Provider Practice Location

  • Address: 540 Medical Oaks Ave
    Suite 102
    Brandon, FL 33511
  • Phone: 813-651-1991
  • Fax: 813-651-1401

Scope of Practice

  • Taxonomy Code: 207N00000X
  • Specialty: Dermatology
  • License Number: ME114654
  • License State: FL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 0021603804
  • Identifier Type: Other
  • Identifier State:
  • Issuer: BCBS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Edward B Lack MD?
  • A: The npi number for MR. Edward B Lack MD is 1417955584.
  • Q: What are MR. Edward B Lack MD's specialties?
  • A: MR. Edward B Lack MD's specialties are Dermatology and different specialities.
  • Q: What is the medical license for MR. Edward B Lack MD?
  • A: The medical license number for MR. Edward B Lack MD is ME114654 and issued in FL in USA.
  • Q: Where is MR. Edward B Lack MD practice location?
  • A: MR. Edward B Lack MD is practicing at 540 Medical Oaks Ave, Brandon, FL 33511.
  • Q: How to contact MR. Edward B Lack MD?
  • A: You can contact MR. Edward B Lack MD via 813-651-1991.
Medicare Specialty
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