Adam Coy Lacks, CSFA, CST
Specialist/Technologist, Other, Surgical Assistant in Fresno, TX. Individual provider (NPI-1).
NPI number1255772646
StatusActive
Last updated in NPPESJul 13, 2013
Details
- NPI
- 1255772646
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam Coy Lacks
- Credential
- CSFA, CST
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2013
- Last updated
- Jul 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
Practice location
2115 Vermillion Oak StFresno, TX 77545-2063
Phone 713-410-4042
Mailing address
2115 Vermillion Oak StFresno, TX 77545-2063
Phone 713-410-4042
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