MR. EDWARD B LACK MD
NPI 1417955584
Dermatology in Brandon, FL
About Mr. Edward B Lack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD B LACK MD (NPI 1417955584) is an individual dermatology provider in Brandon, Florida, licensed in Illinois (036-043409) and active in the NPI registry since July 2005.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRANDON, FL 33511
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 Edward Lack's NPI number?
The NPI number for Edward Lack is 1417955584. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Edward Lack located?
Edward Lack practices at 540 Medical Oaks Ave Suite 102, Brandon, FL 33511. The listed phone number is (813) 651-1991.
What is Edward Lack's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Edward Lack was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.