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NPI Profile for Dr PHILLIP L LACKEY in HUNTINGTON, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1902929219 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/10/2007 | |
| Last updated | 07/07/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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PHILLIP L LACKEY
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PHILLIP L LACKEY, MD