Jodi Jean Lackey is a Surgical in Charlotte, North Carolina. Jodi Jean Lackey practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jodi Jean Lackey is 1568551729. The last update date is 2021-12-22.
Jodi Jean Lackey's current location address is 4100 Carmel Rd, Charlotte, North Carolina. You can contact this provider via phone number 8642888280. The mailing address for Jodi Jean Lackey is 4100 Carmel Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Jean Lackey |
|---|---|
| Address | 4100 Carmel Rd, Charlotte, North Carolina |
| Phone Number | 8642888280 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MBA, MHA, |
NPI Number Detail
| NPI Number | 1568551729 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 4100 Carmel Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282266150 |
| Phone Number | 8642888280 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 0010-01518 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0723PA | SC | -- |
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What is the Jodi Jean Lackey's unique identification number?
The Jodi Jean Lackey has been assigned the NPI (National Provider Identifier) Number 1568551729 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jodi Jean Lackey?
The Jodi Jean Lackey is physically situated at 4100 Carmel Rd, in the city of Charlotte, state of NC, with the postal code 282266150.
What is Jodi Jean Lackey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jodi Jean Lackey is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
When did Jodi Jean Lackey receive its 1568551729 assignment?
The Jodi Jean Lackey was assigned its 1568551729 on 2006-10-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Jodi Jean Lackey's details last updated?
The information pertaining to the Jodi Jean Lackey, including its address, specialty, and other details, was most recently updated on 2021-12-22.