Search › Tennessee › 101YA0400X
Mark Lackmann, LADAC I; CADC I
NPI 1689449803 · on the registry since 2023
Practice
- Address
- 661 Madison Ave
Memphis, TN 38103 - Phone
- (901) 267-4008
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-17
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 Tennessee