Van L Lackey in Jackson - Hematology & Oncology
Van L Lackey - NPI 1740284389
Van L Lackey is a Hematology & Oncology in Jackson, Mississippi. Van L Lackey practices all healthcare services and medical treatments related to Hematology & 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 | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 6430 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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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 Hematology & Oncology, and it falls under the taxonomy code 207Rh0003X, 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.