Van L Lackey is a Medical Oncology in Jackson, Mississippi. Van L Lackey practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Van L Lackey is 1740284389. The last update date is 2010-06-18.
Van L Lackey's current location address is 1227 N State St, Jackson, Mississippi. You can contact this provider via phone number 6013552485 and fax number 6013531463. The mailing address for Van L Lackey is 1227 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Van L Lackey |
|---|---|
| Address | 1227 N State St, Jackson, Mississippi |
| Phone Number | 6013552485 |
| Fax Number | 6013531463 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1740284389 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2010-06-18 |
Provider Mailing Address Detail
| Address | 1227 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 3920220020 |
| Phone Number | 6013552485 |
| Fax Number | 6013531463 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Oncology |
|---|---|
| Taxonomy | 207Rx0202X |
| Licence No | 6430 |
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Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4285654 | AETNA HEALTHCARE | ||
| 115429 | MS | -- | |
| 1541575 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Van L Lackey by the Centers for Medicare & Medicaid Services?
The Van L Lackey has been assigned the NPI (National Provider Identifier) 1740284389 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Van L Lackey's facilities are situated?
The facilities of Van L Lackey are physically located at the following address: 1227 N State St, Jackson, MS, 3920220020.
What is the Van L Lackey's area of specialization and corresponding taxonomy classification?
The Van L Lackey's specialty field is Medical Oncology, and it falls under the taxonomy code 207Rx0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740284389 to Van L Lackey?
The Centers for Medicare & Medicaid Services originally issued the 1740284389 to Van L Lackey on 2005-06-10.
When was the Van L Lackey's information last updated?
The Van L Lackey's information was last updated on 2010-06-18.