VAN LACKEY, M.D.

Internal Medicine - Medical Oncology

Active Individual
NPI: 1740284389

Practice Address

1227 N STATE ST
STE 101
Jackson, MS 39202

Phone: (601) 355-2485

Specialties

Specialty Code Primary License
Internal Medicine - Hematology & Oncology 207RH0003X No 06430 (MS)
Internal Medicine - Medical Oncology 207RX0202X Yes 06430 (MS)

Frequently Asked Questions

NPI 1740284389 is the National Provider Identifier for VAN LACKEY, M.D., a Internal Medicine - Medical Oncology provider located in Jackson, MS. This NPI was enumerated on June 10, 2005.
VAN LACKEY, M.D. practices at 1227 N STATE ST, STE 101, Jackson, MS 39202.

Quick Facts

NPI
1740284389
Type
Individual
Enumerated
Jun 10, 2005
Last Updated
Jun 18, 2010

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