Lackman, Vernon Henry

Lackman, Vernon Henry is an individual health care provider with primary practice located at 17909 Soledad Canyon Rd , Canyon Country CA 91387-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lackman, Vernon Henry can be contacted via phone (661) 250-5244.

Contact Information

Primary practice address
17909 Soledad Canyon Rd Canyon Country CA 91387-3210
Phone: (661) 250-5244
Fax: (661) 251-7308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G67735 California

Profile Details

NPI number 1174554646
LBN Legal business name Lackman, Vernon Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 26th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174554646 NPPES
California MEDICAID 00G677350

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