Lackey, Thomas C.

Lackey, Thomas C. is an individual health care provider with primary practice located at 4759 Lakeview Dr Ste 101, Sebring FL 33870-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lackey, Thomas C. can be contacted via phone (863) 402-5600.

Contact Information

Primary practice address
4759 Lakeview Dr Ste 101 Sebring FL 33870-2005
Phone: (863) 402-5600
Fax: (863) 402-5602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS10031 Florida

Profile Details

NPI number 1114955598
LBN Legal business name Lackey, Thomas C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 9th, 2017 - about 8 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 1114955598 NPPES
Florida MEDICAID 279537000

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