Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise Lack, NP

Individual provider Nurse Practitioner · NPI 1104839414

Denise Lack, NP is a Nurse Practitioner in Jackson, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

100 Mission Blvd Ste 2600
Jackson, CA 95642-2536
Phone: (209) 257-1722
Fax: (209) 257-1726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN392072 (CA)

Record details

NPI number1104839414
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESJuly 10, 2015
Mailing address10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539

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