Lackey, Herbert Lebron
Lackey, Herbert Lebron is an individual health care provider with primary practice located at 2370 N Ocoee St , Cleveland TN 37311-3850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lackey, Herbert Lebron can be contacted via phone (423) 479-6214.Contact Information
Primary practice address
2370 N Ocoee St
Cleveland TN 37311-3850
Phone: (423) 479-6214
Fax: (423) 614-4405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24323 | Tennessee |
Profile Details
| NPI number | 1326046053 |
|---|---|
| LBN Legal business name | Lackey, Herbert Lebron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jun 15th, 2009 - about 15 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 | 1326046053 | NPPES |
| Tennessee | MEDICAID | 3083638 |
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