Dr LOGAN B LACKEY II is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2010 from Northeastern Ohio Universities College Of Medicine.
MERCY CLINIC SPRINGFIELD COMMUNITIES
2055 S FREMONT AVE
MC RADIATION ONCOLOGY
SPRINGFIELD
MO
658042206
Tel: 4178202468
| Npi | 1740506419 |
| Pac Id | 6901198639 |
| Professional Enrollment Id | I20160715001579 |
| Last Name | LACKEY |
| First Name | LOGAN |
| Middle Name | B |
| Suffix | II |
| Gender | M |
| Credential | |
| Medical School Name | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Group Practice Pac Id | 7416865845 |
| Number Of Group Practice Members | 933 |
| Line 1 Street Address | 2055 S FREMONT AVE |
| Line 2 Street Address | MC RADIATION ONCOLOGY |
| Marker Of Address Line 2 Suppression | |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 658042206 |
| Phone Number | 4178202468 |
| Hospital Affiliation Ccn 1 | 260065 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL SPRINGFIELD |
| Hospital Affiliation Ccn 2 | 260059 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL LEBANON |
| Hospital Affiliation Ccn 3 | 041329 |
| Hospital Affiliation Lbn 3 | MERCY HOSPITAL BERRYVILLE |
| Hospital Affiliation Ccn 4 | 261335 |
| Hospital Affiliation Lbn 4 | MERCY ST FRANCIS HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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