Lackey, Vicki
Lackey, Vicki is an individual health care provider with primary practice located at 1950 45Th St Ste 200 , Munster IN 46321-3958. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lackey, Vicki can be contacted via phone (219) 912-3376.Contact Information
Primary practice address
1950 45Th St Ste 200
Munster IN 46321-3958
Phone: (219) 912-3376
Fax: (219) 529-6267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001103 | Indiana |
Profile Details
| NPI number | 1760421663 |
|---|---|
| LBN Legal business name | Lackey, Vicki |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 3rd, 2022 - about 2 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 | 1760421663 | NPPES |
| Indiana | MEDICAID | 200459250 |
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