JOHN LACKEY, MD

Specialist

Active Individual
NPI: 1063456648

Practice Address

500 S 11TH AVE
Pocatello, ID 83201

Phone: (208) 232-3103

Specialties

Specialty Code Primary License
Specialist 174400000X Yes M3873 (ID)

Frequently Asked Questions

NPI 1063456648 is the National Provider Identifier for JOHN LACKEY, MD, a Specialist provider located in Pocatello, ID. This NPI was enumerated on June 15, 2006.
JOHN LACKEY, MD practices at 500 S 11TH AVE, Pocatello, ID 83201.

Quick Facts

NPI
1063456648
Type
Individual
Enumerated
Jun 15, 2006
Last Updated
Jul 8, 2007

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