Dr Michael D Lack, MD - Preventive Medicine in Jonesboro, AR

Dr Michael D Lack, MD is a Preventive Medicine - Occupational Medicine physician based in Jonesboro, Arkansas. Dr Michael D Lack is licensed to practice in Arkansas (license number C5420) and his current practice location is 4334 E Highland Dr, Jonesboro, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 802-0012.

NPI number for Dr Michael D Lack is 1477515294 and his current mailing address is 4334 E Highland Dr, Jonesboro, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477515294.

Contact Information

Dr Michael D Lack, MD
4334 E Highland Dr,
Jonesboro, AR 72401-6621
(870) 802-0012
(870) 972-5140



Physician's Profile

Full NameDr Michael D Lack
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location4334 E Highland Dr, Jonesboro, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477515294
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Michael D Lack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477515294NPI-NPPES
03100011900OtherARQUALCHOICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine C5420 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael D Lack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael D Lack, MD
4334 E Highland Dr,
Jonesboro, AR 72401-6621

Ph: (870) 802-0012
Dr Michael D Lack, MD
4334 E Highland Dr,
Jonesboro, AR 72401-6621

Ph: (870) 802-0012

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Preventive Medicine Doctors in Jonesboro, AR


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