VAN L LACKEY M.D. NPI 1740284389

NPI Information

NPI: 1740284389
Provider Name: VAN L LACKEY, M.D.
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Address:
1227 N STATE ST
STE 101
JACKSON, MS
ZIP 39202
Phone: (601) 355-2485
Get Directions

Van L Lackey, M.D. is a medical oncology internal medicine in Jackson, MS. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Van L Lackey, M.D. NPI is 1740284389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1227 N STATE ST
STE 101
JACKSON, MS
ZIP 39202-002
Phone: (601) 355-2485
Fax: (601) 353-1463

The enumeration date for this NPI number is 6/10/2005 and was last updated on 6/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	06430	MISSISSIPPI	No
2	207RX0202X	Internal Medicine	Medical Oncology	06430	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B30410	MEDICARE UPIN
2	4285654	OTHER		AETNA HEALTHCARE
3	00115429	MEDICAID	MISSISSIPPI
4	1541575	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »