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DR. CYNTHIA K LACK MD
NPI 1104920628
Family Medicine in Marquette, MI

Active since September 13, 2006
425 FISHER ST, MARQUETTE, MI 49855(906) 226-4618(906) 226-5317 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cynthia K Lack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CYNTHIA K LACK MD (NPI 1104920628) is an individual family medicine provider in Marquette, Michigan, licensed in Michigan (4301042623) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104920628
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CYNTHIA K LACKCredential: MD
Location Address425 FISHER STMarquette, MI 49855-4521
Mailing Address124 E Magnetic StMarquette, MI 49855-3045 · (906) 228-5146
Phone(906) 226-4618
Fax(906) 226-5317
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1104920628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301042623
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
425 FISHER ST, Marquette, MI 49855
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Other Identifiers 3

Medicaid3088765MI
Medicare ID-Type Unspecified01702042082MI
Medicare UPINE30640MI

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Nursing Facility/Intermediate Care Facility
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
MR. BRADLEY GLENN HARVALA PHARMD.
Pharmacist
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
STATE OF MICHIGAN
Skilled Nursing Facility
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
MR. ROBERT LEON FLATT R.PH.
Pharmacist
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
DR. JAMES JOHN HERON M.D.
Family Medicine (Adult Medicine)
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
STATE OF MICHIGAN
Pharmacy (Long Term Care Pharmacy)
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Lack's NPI number?

The NPI number for Cynthia Lack is 1104920628. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Cynthia Lack located?

Cynthia Lack practices at 425 Fisher St, Marquette, MI 49855. The listed phone number is (906) 226-4618.

What is Cynthia Lack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cynthia Lack was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.