Physician Profile

Edward B. Lack, MD

Unclaimed Profile

About Dr. Lack

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Specialty

Dermatology (Primary)
Dermatology (Additional)

Credentials & Licensing

FL licenseME114654
IL license036-043409
NPI1417955584
NPI issued07/12/2005

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What does Dr. Lack specialize in?

Dr. Lack is a dermatologist (skin doctor) in Brandon, FL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Dermatology”.

NPI registry

Where is Dr. Lack located?

Dr. Lack is listed at 540 Medical Oaks Ave Suite 102, Brandon, FL 33511. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Lack's phone number?

The number on file is (813) 651-1991. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dr. Lack's NPI number?

Dr. Lack's National Provider Identifier is 1417955584. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Lack been practicing?

Dr. Lack has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Lack confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Lack. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.