Lackey, Barbara A
Lackey, Barbara A is an sole proprietor health care provider with primary practice located at 242 West Main Street Suite 200E , Tustin CA 92780-0000. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lackey, Barbara A can be contacted via phone (714) 838-4174.Contact Information
Primary practice address
242 West Main Street Suite 200E
Tustin CA 92780-0000
Phone: (714) 838-4174
Fax: (949) 240-9995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | California |
Profile Details
| NPI number | 1396831905 |
|---|---|
| LBN Legal business name | Lackey, Barbara A |
| Credentials | M; EP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396831905 | NPPES |
| California | Other | 1352763 | ELECTRONIC HEALTH CARE |
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