IndividualActive
Brian Lackey, RN
NPI 1912090770 · Community Health Registered Nurse · Gastonia, NC
Provider details
- NPI number
- 1912090770
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 138742 (NC)
Specialties & taxonomies
Nursing Service Providers
Practice location
991 West Hudson Blvd
Gastonia, NC 28052
Phone: (704) 853-5083
Fax: (704) 853-5240
Approximate (ZIP-level) locationGet directions
Mailing address
991 West Hudson Blvd
Gastonia, NC 28052
Registry dates
- Enumerated
- 2006-10-02
- 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.