Lackey, Charles Lee
Lackey, Charles Lee is an sole proprietor health care provider with primary practice located at 1515 N Porter Ave Suite 200, Norman OK 73071-6649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lackey, Charles Lee can be contacted via phone (405) 366-8619.Contact Information
Primary practice address
1515 N Porter Ave Suite 200
Norman OK 73071-6649
Phone: (405) 366-8619
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 12222 | Oklahoma |
Profile Details
| NPI number | 1285625640 |
|---|---|
| LBN Legal business name | Lackey, Charles Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Feb 25th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285625640 | NPPES |
| Oklahoma | MEDICAID | 100106340A |
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