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 |
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| Provider Name : | Dr. Andrea June Lack |
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| Credential : | M.D. |
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| Gender : | Female |
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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 |
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| Phone Number : | 832-548-5000 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2011 |
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| Last Updated On : | 09 Oct, 2019 |
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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 | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | Q5461 | TX |
| 208000000X | Pediatrics | Yes | Q5461 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Andrea June Lack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| BP10041723 | Other | TX | TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT |
| Q5461 | Other | TX | TX MEDICAL BOARD LICENSE EFF 8/3/15 |
| 1679524961 | Other | TX | LEGACY COMMUNITY HEALTH SERVICES INC MEDICAID # |
| 741819 | Other | TX | LEGACY 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 |
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| Phone Number : | 832-548-5000 |
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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. Last updated on 08 January, 2024.