Dr Michael D Lack, MD in Jonesboro, AR

Dr Michael D Lack, MD - Preventive Medicine in Jonesboro, AR

Dr Michael D Lack, MD is a Preventive Medicine - Occupational Medicine physician based in Jonesboro, Arkansas. Dr Michael D Lack is licensed to practice in Arkansas (license number C5420) and his current practice location is 4334 E Highland Dr, Jonesboro, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 802-0012.

NPI number for Dr Michael D Lack is 1477515294 and his current mailing address is 4334 E Highland Dr, Jonesboro, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477515294.

Contact Information

	Dr Michael D Lack, MD
	4334 E Highland Dr, Jonesboro, AR 72401-6621
	(870) 802-0012
	(870) 972-5140

Map and Direction

Physician's Profile

Full Name	Dr Michael D Lack
Gender	Male
Speciality	Preventive Medicine - Occupational Medicine
Location	4334 E Highland Dr, Jonesboro, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1477515294
Provider Enumeration Date: 04/05/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Michael D Lack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477515294	NPI	-	NPPES
03100011900	Other	AR	QUALCHOICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	C5420 (Arkansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael D Lack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Michael D Lack, MD 4334 E Highland Dr, Jonesboro, AR 72401-6621 Ph: (870) 802-0012	Dr Michael D Lack, MD 4334 E Highland Dr, Jonesboro, AR 72401-6621 Ph: (870) 802-0012