LISA DARBONNE RACKLEY, DDS

NPI: 1346687373 · Individual · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

96TH MEDICAL GROUP
307 BOATNER ROAD
EGLIN AFB, FL 32542 Map ↗
Phone: 850-883-9957

Mailing Address

96TH MEDICAL GROUP
307 BOATNER ROAD, STE 113
EGLIN AFB, FL 32542 Map ↗
Phone: 850-883-9957

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 3672, LA)

NPI Registration

Enumerated: 2013-05-31

Last CMS Update: 2019-02-20