TAYLOR GILLILAND LACKEY MD NPI 1831696962

NPI Information

Taylor Gilliland Lackey, MD is a student in an organized health care education training program in Aurora, CO with 6 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Taylor Gilliland Lackey, MD NPI is 1831696962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

12605 E 16TH AVE
AURORA, CO
ZIP 80045-545
Phone: (720) 848-0000

The NPI 1831696962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2018 and was last updated on 4/7/2020.

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:

Other Identifiers

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

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