Edwards-Lackey, Maurice

Edwards-Lackey, Maurice is an individual health care provider with primary practice located at 1514 Vernon Rd , Lagrange GA 30240-4131. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Edwards-Lackey, Maurice can be contacted via phone (706) 691-9671.

Contact Information

Primary practice address
1514 Vernon Rd Lagrange GA 30240-4131
Phone: (706) 691-9671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 87734 Georgia

Profile Details

NPI number 1598269953
LBN Legal business name Edwards-Lackey, Maurice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Mar 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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