VAN L LACKEY M.D. NPI 1740284389

NPI Information

  • NPI: 1740284389
  • Provider Name: VAN L LACKEY, M.D.
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Individual
  • Address: 1227 N STATE ST
    STE 101
    JACKSON, MS
    ZIP 39202
  • Phone: (601) 355-2485

Map and Directions

Get Directions

NPI Details

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
1207RH0003XInternal MedicineHematology & Oncology06430MISSISSIPPINo
2207RX0202XInternal MedicineMedical Oncology06430MISSISSIPPIYes

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
1B30410MEDICARE UPIN
24285654OTHERAETNA HEALTHCARE
300115429MEDICAIDMISSISSIPPI
41541575MEDICAIDLOUISIANA

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

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