THOMAS KEVIN LACKEY

COOSA PAIN AND WELLNESS

Dr THOMAS KEVIN LACKEY is a male medical professional, specializing in Anesthesiology. He graduated in 1997 from University Of Alabama School Of Medicine.

Contact

COOSA PAIN AND WELLNESS

3804 RAINBOW DR
RAINBOW CITY
AL
359063051

Tel: 2569522200

THOMAS KEVIN LACKEY Information

Npi 1720060247
Pac Id 3971652611
Professional Enrollment Id I20090528000530
Last Name LACKEY
First Name THOMAS
Middle Name KEVIN
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COOSA PAIN AND WELLNESS
Group Practice Pac Id 7113153214
Number Of Group Practice Members 6
Line 1 Street Address 3804 RAINBOW DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RAINBOW CITY
State AL
Zip Code 359063051
Phone Number 2569522200
Hospital Affiliation Ccn 1 010040
Hospital Affiliation Lbn 1 GADSDEN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 010078
Hospital Affiliation Lbn 2 NORTHEAST ALABAMA REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3 010005
Hospital Affiliation Lbn 3 MARSHALL MEDICAL CENTERS
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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