| Dr Margery Lackman, MD | |
|
500 San Pablo Ave, Albany, CA 94706-1103 | |
| (510) 204-8130 | |
| (510) 524-0861 |
| Full Name | Dr Margery Lackman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 500 San Pablo Ave, Albany, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619036688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G63812 (California) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Margery Lackman, MD 500 San Pablo Ave, Albany, CA 94706-1103 Ph: (510) 204-8130 | Dr Margery Lackman, MD 500 San Pablo Ave, Albany, CA 94706-1103 Ph: (510) 204-8130 |
Shweta Sujit, MD MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8144 | |
Josephine Lindt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1402 Solano Ave, Albany, CA 94706 Phone: 510-525-2670 Fax: 510-525-2680 | |
Donald N. Mangravite, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1114 Curtis St, Albany, CA 94706 Phone: 510-526-8034 |