Edward Lack, MD
NPI 1417955584 · Dermatology Physician · Brandon, FL
Edward Lack, MD is a Dermatology Physician provider in Brandon, FL (NPI 1417955584).
Provider details
- NPI number
- 1417955584
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-043409 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2016-11-15
Frequently asked questions
- What is Edward Lack's NPI number?
- Edward Lack's National Provider Identifier (NPI) is 1417955584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Lack's specialty?
- Edward Lack is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Lack located?
- Edward Lack's practice location on file with NPPES is 540 Medical Oaks Ave, Brandon, FL 33511-5995.
- What is Edward Lack's phone number?
- The practice phone number listed in the NPPES registry for Edward Lack is (813) 651-1991.
- Is Edward Lack's NPI active?
- Yes — Edward Lack's NPI (1417955584) is active in the NPPES registry as of the last update on 2016-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.