According to our database, the NPI number for Jody Hannah Lack MD is 1235351818 and activated since 17 years ago. Jody Hannah Lack MD is an individual provider who specializes in Pediatrics, and the primary practice location is 415 N 9th St, Springfield, IL 62702. You can also contact Jody Hannah Lack MD via telephone number is (217) 545-0003. Provider NPI information was last updated on 01/13/2011.

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Overview of Jody Hannah Lack MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/03/2007
  • Last updated: 01/13/2011

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 036-122811
  • License State: IL

Provider Mailing Address

  • Address: Po Box 19676
    Springfield, IL 62794
  • Phone: 217-545-0003
  • Fax: 217-545-7615

Provider Practice Location

  • Address: 415 N 9th St
    Ste 4w64
    Springfield, IL 62702
  • Phone: 217-545-0003
  • Fax: 217-545-7615

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 036-122811
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036122811
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

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 Jody Hannah Lack MD?
  • A: The npi number for Jody Hannah Lack MD is 1235351818.
  • Q: What are Jody Hannah Lack MD's specialties?
  • A: Jody Hannah Lack MD's specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Jody Hannah Lack MD?
  • A: The medical license number for Jody Hannah Lack MD is 036-122811 and issued in IL in USA.
  • Q: Where is Jody Hannah Lack MD practice location?
  • A: Jody Hannah Lack MD is practicing at 415 N 9th St, Springfield, IL 62702.
  • Q: How to contact Jody Hannah Lack MD?
  • A: You can contact Jody Hannah Lack MD via 217-545-0003.