DR. PHILLIP LIMBAUGH LACKEY MD NPI 1902929219

NPI Information

NPI: 1902929219
Provider Name: DR. PHILLIP LIMBAUGH LACKEY, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
1540 SPRING VALLEY DR
HUNTINGTON, WV
ZIP 25704
Phone: (304) 429-6741
Get Directions

DR. Phillip Limbaugh Lackey, MD is a plastic and reconstructive surgery surgery in Huntington, WV. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Phillip Limbaugh Lackey, MD NPI is 1902929219. 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:

1540 SPRING VALLEY DR
HUNTINGTON, WV
ZIP 25704-501
Phone: (304) 429-6741

The NPI 1902929219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 10/6/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	23570	ALABAMA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	35.113919	OHIO	No
3	2086S0122X	Surgery	Plastic and Reconstructive Surgery	42124	KENTUCKY	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	2853050	MEDICAID	OHIO
2	7100048660	MEDICAID	KENTUCKY
3	000000568865	OTHER	KENTUCKY	ANTHEM

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: 11/14/2023

NPI Synchronization or Removal

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