CHARLES L. LACKEY MD PC NPI 1144235995

NPI Information

  • NPI: 1144235995
  • Provider Name: CHARLES L. LACKEY MD, PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 1515 NORTH PORTER AVE
    SUITE 200
    NORMAN, OK
    ZIP 73071
  • Phone: (405) 366-8619

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NPI Details

CHARLES L. LACKEY MD, PC is a gastroenterology internal medicine in Norman, OK. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. CHARLES L. LACKEY MD, PC NPI is 1144235995. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1515 NORTH PORTER AVE
SUITE 200
NORMAN, OK
ZIP 73071-446
Phone: (405) 366-8619
Fax: (405) 366-1839

The provider's authorized official is Robert M Holbrook .
The authorized official title is Owner and has the following contact phone number (405) 366-8619.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 10/22/2025.

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
1207RG0100XInternal MedicineGastroenterology12222OKLAHOMAYes

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: 11/21/2025

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