Branimir A. Lackovic, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901022629 Issued in MI

Practice address

101 S Front St Ste 505
Marquette, MI 49855

Phone

(906) 225-4520

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1780720482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S FRONT ST STE 505",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554641",
            "telephone_number": "906-225-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FRONT ST STE 505",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Front St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554641",
            "country_code": "US",
            "telephone_number": "906-225-4520",
            "fax_number": "906-225-4522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACKOVIC",
        "first_name": "BRANIMIR",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2286",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901022629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ala Kyle, O.D.
• Mary Elizabeth Labelle, B.S. PHARM, RPH.
• Timothy John Labonte, MD
• Cynthia K Lack, MD
• Anthony N Lackey, P.A.
• Deanna Lacosse, NP
• Lacy Williams, LLC
• Jeremy Joseph Lafave, CRNA
• Nicole Lynn Lafoille, BCBA
• Matt John Lafountain, CHW

• Endodontics in Marquette, MI
• Providers in Marquette, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.