John Lackey, MD

NPI 1063456648 · on the registry since 2006

Practice

Address: 500 S 11th Ave
Pocatello, ID 83201
Phone: (208) 232-3103
Fax: (208) 232-0756
Organisation at this address: Judy Pc
Care Llc
Health West, Inc.
Health West, Inc.
Salt Lake City Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho