Anthony N Lackey in Marquette - Physician Assistant
Anthony N Lackey - NPI 1295718898
Anthony N Lackey is a Physician Assistant in Marquette, Michigan. Anthony N Lackey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anthony N Lackey is 1295718898. The last update date is 2007-07-08.
Anthony N Lackey's current location address is Po Box 220, Marquette, Michigan. You can contact this provider via phone number 8886740854 and fax number 9062253370. The mailing address for Anthony N Lackey is Po Box 220, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony N Lackey |
|---|---|
| Address | Po Box 220, Marquette, Michigan |
| Phone Number | 8886740854 |
| Fax Number | 9062253370 |
| Sole Proprietor | X |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1295718898 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 220 |
|---|---|
| City | Marquette |
| State | Michigan (MI) |
| Post Code | 498550220 |
| Phone Number | 8886740854 |
| Fax Number | 9062253370 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003024 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601003024 | MI | MICHIGAN LICENSE NUMBER |
Post Comment/ Review Below
Could you please share the complete physical location address where Anthony N Lackey's facilities are situated?
The facilities of Anthony N Lackey are physically located at the following address: Po Box 220, Marquette, MI, 498550220.
What is Anthony N Lackey's specialized field of practice, and what is the corresponding taxonomy classification code?
The Anthony N Lackey's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Anthony N Lackey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Anthony N Lackey is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1295718898 assigned to Anthony N Lackey?
The Anthony N Lackey was issued its 1295718898 on 2005-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Anthony N Lackey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anthony N Lackey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.