Dr. Andrea June Lack

M.D. | Pediatrics | Female

Dr. Andrea June Lack, M.D. is a Houston, Texas based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Andrea June Lack is 6550 Mapleridge St, Suite 106, Houston, Texas - 77081-4600. She can be contacted on phone at 832-548-5000. Dr. Andrea June Lack is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Andrea June Lack is 1699060905 which was assigned by NPPES on 14 Jun, 2011 and it was last updated on 09 Oct, 2019. Dr. Andrea June Lack license number is Q5461 for Pediatrics (208000000X) in Texas.
Dr. Andrea June Lack is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Andrea June Lack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Andrea June Lack
Credential :M.D.
Gender :Female
Business Address:
Dr. Andrea June Lack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :6550 Mapleridge St, Suite 106
Houston, TX, 77081-4600
United States
Phone Number :832-548-5000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1699060905
NPI Entity Type : Individual
First Enrolment Date : 14 Jun, 2011
Last Updated On : 09 Oct, 2019
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Andrea June Lack are as mentioned. Primary taxonomy code for Dr. Andrea June Lack, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
207R00000XInternal MedicineNoQ5461TX
208000000XPediatricsYesQ5461TX
Legacy Identifiers:
Other legacy medical identifiers of Dr. Andrea June Lack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
BP10041723OtherTXTEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT
Q5461OtherTXTX MEDICAL BOARD LICENSE EFF 8/3/15
1679524961OtherTXLEGACY COMMUNITY HEALTH SERVICES INC MEDICAID #
741819OtherTXLEGACY SITE SPECIFIC MEDICARE #
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 66308
Houston, TX, 77266-6308
United States
Phone Number :832-548-5000
Business Location:
Patients can refer following map for directions to Dr. Andrea June Lack practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.