Dr John Lackey INC

NPI #1205951605 in Summersville, West Virginia

Provider Information

NPI Number: 1205951605
Entity Type: Organization
Organization Name: Dr John Lackey INC
Primary Specialty: Ophthalmology
Enumeration Date: Mar 21, 2007
Last Updated: Feb 21, 2011

Practice Location

Address: 702 PROFESSIONAL PARK DR
Address 2: SUITE 102
City: Summersville
State: West Virginia
ZIP Code: 26651-2018
Phone: (304) 872-6433

Authorized Official

Name: JOHN K LACKEY, D.O.
Title: OWNER PHYSICIAN
Phone: (304) 872-6433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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