Michael D Lack, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

C5420 Issued in AR

Practice address

4334 E Highland Dr
Jonesboro, AR 72401-6621

Phone

(870) 802-0012

Fax

(870) 972-5140

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477515294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 E HIGHLAND DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016621",
            "telephone_number": "870-802-0012",
            "fax_number": "870-972-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 E HIGHLAND DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016621",
            "telephone_number": "870-802-0012",
            "fax_number": "870-972-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AR",
            "license": "C5420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "03100011900",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Kuta, DO
• Brandee Nikole Kyle
• Cory Kyle
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• Christine Lachica, OTR/L
• Gail Lacy
• Sonia Lacy, MHPP
• Tequila Jantana Lacy
• Alexandra Laden
• Jerri E Lafarlette, CRNA

• Occupational Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.