Jeffrey S Lackey in Myrtle Beach - Pediatric Radiology
Jeffrey S Lackey - NPI 1184600587
Jeffrey S Lackey is a Pediatric Radiology in Myrtle Beach, South Carolina. Jeffrey S Lackey practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Jeffrey S Lackey is 1184600587. The last update date is 2014-08-08.
Jeffrey S Lackey's current location address is Po Box 51030, Myrtle Beach, South Carolina. You can contact this provider via phone number 8432388660. The mailing address for Jeffrey S Lackey is Po Box 51030, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey S Lackey |
|---|---|
| Address | Po Box 51030, Myrtle Beach, South Carolina |
| Phone Number | 8432388660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184600587 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2014-08-08 |
Provider Mailing Address Detail
| Address | Po Box 51030 |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295790018 |
| Phone Number | 8432388660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 21294 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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What is the unique identification code assigned to Jeffrey S Lackey by the Centers for Medicare & Medicaid Services?
The Jeffrey S Lackey has been issued the NPI (National Provider Identifier) 1184600587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jeffrey S Lackey is physically located?
The Jeffrey S Lackey is physically situated at the following address: Po Box 51030, Myrtle Beach, SC, 295790018.
What is Jeffrey S Lackey's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeffrey S Lackey is Pediatric Radiology, and the taxonomy code that classifies this field of practice is 2085P0229X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184600587 to Jeffrey S Lackey?
The Centers for Medicare & Medicaid Services originally issued the 1184600587 to Jeffrey S Lackey on 2005-12-16.
As of what date were the details pertaining to Jeffrey S Lackey last refreshed?
The information related to the Jeffrey S Lackey, including its address, specialty, and other relevant details, was last updated on 2014-08-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA