Lackey, Steven T

Lackey, Steven T is an individual health care provider with primary practice located at 1331 Union Ave Ste 1145 , Memphis TN 38104-7509. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lackey, Steven T can be contacted via phone (901) 866-8811.

Contact Information

Primary practice address
1331 Union Ave Ste 1145 Memphis TN 38104-7509
Phone: (901) 866-8811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7045 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 56320 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN0000007045 Tennessee

Profile Details

NPI number 1649222910
LBN Legal business name Lackey, Steven T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 7th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649222910 NPPES
Tennessee MEDICAID 1517957

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