Charles Warren Lackey, MD

NPI #1144226291 in Leadville, Colorado

Provider Information

NPI Number
1144226291
Entity Type
Individual
Name
Charles Warren Lackey, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Jun 23, 2005
Last Updated
Mar 2, 2023

Practice Location

Address
822 W 4TH ST
ZIP Code
80461-3861
Phone
(719) 486-1264

Specialties & Taxonomy Codes

Specialty
Family Medicine

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