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.

IndividualActive

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)

Practice location

540 Medical Oaks Ave

Suite 102

Brandon, FL 33511-5995

Phone: (813) 651-1991

Fax: (813) 651-1401

Street-level locationGet directions

More FL providers

Mailing address

151 Southhall Ln

Maitland, FL 32751-7176

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000XLicense 036-043409 (IL)
Allopathic & Osteopathic Physicians
Dermatology Physician207N00000XLicense ME114654 (FL)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
21 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions