Search › Missouri › 101YM0800X
Lisa Tackett
NPI 1508267287 · on the registry since 2014
Practice
- Address
- 607 Wood Briar Dr
Troy, MO 63379 - Phone
- (636) 290-3401
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2014-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri