John Lackey

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NPI Number Detailed Information

Provider Information:

Name:	John Lackey
Gender:	M
Provider License Number If Given:	M3873

NPI Information:

NPI:	1063456648
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/15/2006
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	700 CANYON DR Pocatello, ID 83204
Phone Number:	2082341921
Fax Number:

Provider Business Practice Location Address:

Address:	500 S 11TH AVE Pocatello, ID 83201
Phone Number:	2082323103
Fax Number:	2082320756

Provider Taxonomy:

Primary:	174400000X
Secondary (if any):
State:	ID

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About John Lackey

John Lackey ( JOHN LACKEY ) is An Specialist Physician in Pocatello, ID. The NPI Number for John Lackey is 1063456648.

The current location address for John Lackey is 500 S 11TH AVE Pocatello, ID 83201 and the contact number is 2082341921 and fax number is . The mailing address for John Lackey is 700 CANYON DR Pocatello, ID 83204- 2082323103 (mailing address contact number - 2082341921).

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for John Lackey ?

Answer: The NPI Number for John Lackey is 1063456648

Where is John Lackey located?

Answer: John Lackey is located at 500 S 11TH AVE Pocatello, ID 83201.

What is the specialty for John Lackey ?

Answer: The Specialty of John Lackey is An Specialist Physician.

Are there any online reviews for John Lackey ?

Answer: Not yet!

Are there any other health care providers in Pocatello, ID?

Answer: Yes, there are given below...

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