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

Mary Kate Lackey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366204349

Mary Kate Lackey is a Student in an Organized Health Care Education/Training Program in Tallassee, Alabama. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

936 Dark Corners Rd
Tallassee, AL 36078-4281
Phone: (334) 415-2182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366204349
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address936 Dark Corners Rd, Tallassee, AL 36078-4281

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