Dr CHARLES L LACKEY is a male medical professional, specializing in Gastroenterology. He graduated in 1978 from University Of Oklahoma College Of Medicine.
CHARLES L. LACKEY MD, PC
1515 N PORTER
SUITE 200
NORMAN
OK
730716621
Tel: 4053668619
| Npi | 1285625640 |
| Pac Id | 2163459769 |
| Professional Enrollment Id | I20090217000135 |
| Last Name | LACKEY |
| First Name | CHARLES |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | CHARLES L. LACKEY MD, PC |
| Group Practice Pac Id | 1456416890 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 1515 N PORTER |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | NORMAN |
| State | OK |
| Zip Code | 730716621 |
| Phone Number | 4053668619 |
| Hospital Affiliation Ccn 1 | 370008 |
| Hospital Affiliation Lbn 1 | NORMAN REGIONAL |
| Hospital Affiliation Ccn 2 | 370158 |
| Hospital Affiliation Lbn 2 | PURCELL MUNICIPAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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