WESLEY G LACKEY

MCJR LLC

Dr WESLEY G LACKEY is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2007 from Indiana University School Of Medicine.

Contact

MCJR LLC

6920 GATWICK DR
SUITE 200
INDIANAPOLIS
IN
462419504

Tel: 3174551064

WESLEY G LACKEY Information

Npi 1033314984
Pac Id 8224273560
Professional Enrollment Id I20130314000447
Last Name LACKEY
First Name WESLEY
Middle Name G
Suffix
Gender M
Credential
Medical School Name INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MCJR LLC
Group Practice Pac Id 1355661778
Number Of Group Practice Members 7
Line 1 Street Address 6920 GATWICK DR
Line 2 Street Address SUITE 200
Marker Of Address Line 2 Suppression
City INDIANAPOLIS
State IN
Zip Code 462419504
Phone Number 3174551064
Hospital Affiliation Ccn 1 150057
Hospital Affiliation Lbn 1 FRANCISCAN HEALTH MOORESVILLE
Hospital Affiliation Ccn 2 150183
Hospital Affiliation Lbn 2 MONROE HOSPITAL
Hospital Affiliation Ccn 3 150162
Hospital Affiliation Lbn 3 FRANCISCAN HEALTH INDIANAPOLIS
Hospital Affiliation Ccn 4 151328
Hospital Affiliation Lbn 4 INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL
Hospital Affiliation Ccn 5 150001
Hospital Affiliation Lbn 5 JOHNSON MEMORIAL HOSPITAL
Professional Accepts Medicare Assignment Y

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