IndividualActive
Michael Lack, M.D.
NPI 1477515294 · Occupational Medicine Physician · Jonesboro, AR
Provider details
- NPI number
- 1477515294
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- C5420 (AR)
Practice location
4334 E Highland Dr
Jonesboro, AR 72401-6621
Phone: (870) 802-0012
Fax: (870) 972-5140
Mailing address
4334 E Highland Dr
Jonesboro, AR 72401-6621
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.