Dr. Lisa A Tack is a Calvert City, Kentucky based female chiropractor with 29 years of experience in General Chiropractor. She completed her graduation from Logan College Of Chiropractic in 1995. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Lisa A Tack as General Chiropractor is 4311 in Kentucky. Dr. Lisa A Tack is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Lisa A Tack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
29+ years
Medical School Attended:
Logan College Of Chiropractic
Graduation Year:
1995
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
5131 Us Highway 62, Calvert City, Kentucky, 42029-8390
Phone:
270-395-4540
Fax:
270-395-7715
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.
PAC ID:
5092951848
Enrollment ID:
I20130423000304
NPI Number:
1619978129
NPI Enumeration Date:
09 Aug, 2005
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa A Tack are as mentioned below.
License Number
Specialization
State
Status
4311
Chiropractor
Kentucky
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Lisa A Tack is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bradley A Tack Psc (7113952409)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lisa A Tack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
85001477
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
330 Oak Shadow Ln, Benton, Kentucky
Zip:
42025-5494
Phone Number:
270-527-8216
Fax Number:
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Patients can reach Dr. Lisa A Tack at 5131 Us Highway 62, Calvert City, Kentucky or can call to book an appointment on 270-395-4540. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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