JAMES M LACKEY MD

PROPHYLAXIS HEALTHCARE LLC

Dr JAMES M LACKEY MD is a male medical professional, specializing in Family Medicine. He graduated in 2000 from University Of Texas Southwestern Medical School At Dallas.

Contact

PROPHYLAXIS HEALTHCARE LLC

23 W COMMERCIAL ST
AXIS HEALTHCARE INOLA
INOLA
OK
740363606

Tel: 9185438880

JAMES M LACKEY MD Information

Npi 1730255050
Pac Id 6901850395
Professional Enrollment Id I20150409000534
Last Name LACKEY
First Name JAMES
Middle Name M
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year 2000
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROPHYLAXIS HEALTHCARE LLC
Group Practice Pac Id 3072784289
Number Of Group Practice Members 16
Line 1 Street Address 23 W COMMERCIAL ST
Line 2 Street Address AXIS HEALTHCARE INOLA
Marker Of Address Line 2 Suppression
City INOLA
State OK
Zip Code 740363606
Phone Number 9185438880
Hospital Affiliation Ccn 1 370015
Hospital Affiliation Lbn 1 HILLCREST HOSPITAL PRYOR
Hospital Affiliation Ccn 2 370039
Hospital Affiliation Lbn 2 HILLCREST HOSPITAL CLAREMORE
Hospital Affiliation Ccn 3 370025
Hospital Affiliation Lbn 3 SAINT FRANCIS HOSPITAL MUSKOGEE
Hospital Affiliation Ccn 4 370166
Hospital Affiliation Lbn 4 WAGONER COMMUNITY HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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