Dr CHARLES W LACKEY MD is a male medical professional, specializing in Emergency Medicine. He graduated in 1974.
SUMMIT COMMUNITY CARE CLINIC, INC.
360 PEAK ONE DR
SUITE 100
FRISCO
CO
80443
Tel: 9706684040
| Npi | 1144226291 |
| Pac Id | 0143246579 |
| Professional Enrollment Id | I20051014000818 |
| Last Name | LACKEY |
| First Name | CHARLES |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1974 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | SUMMIT COMMUNITY CARE CLINIC, INC. |
| Group Practice Pac Id | 8022284074 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 360 PEAK ONE DR |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| Phone Number | 9706684040 |
| Hospital Affiliation Ccn 1 | 061319 |
| Hospital Affiliation Lbn 1 | ST VINCENT HOSPITAL GENERAL DISTRICT |
| Hospital Affiliation Ccn 2 | 060118 |
| Hospital Affiliation Lbn 2 | ST. ANTHONY SUMMIT MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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