| Lackey Free Family Medicine Clinic | |
|
1620 Old Williamsburg Rd Yorktown VA 23690-3910 | |
| (757) 886-0608 | |
| (757) 369-3821 |
| Full Name | Lackey Free Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1620 Old Williamsburg Rd, Yorktown, Virginia |
| Authorized Official Name and Position | Robert Bradley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7578860608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd Yorktown VA 23690-3910 Ph: (757) 886-0608 | Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd Yorktown VA 23690-3910 Ph: (757) 886-0608 |
| NPI Number | 1699082446 |
|---|---|
| Provider Enumeration Date | 08/31/2010 |
| Last Update Date | 08/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699082446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0024164154 (Virginia) | Primary |
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