Lackey, Otho M.

Lackey, Otho M. is an individual health care provider with primary practice located at 4199 Gateway Blvd Ste 2400, Newburgh IN 47630-8954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lackey, Otho M. can be contacted via phone (812) 858-4600.

Contact Information

Primary practice address
4199 Gateway Blvd Ste 2400 Newburgh IN 47630-8954
Phone: (812) 858-4600
Fax: (812) 858-4601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01029297A Indiana

Profile Details

NPI number 1710980073
LBN Legal business name Lackey, Otho M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 24th, 2007 - about 17 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.

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