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Contact Information

ADAM H LACKEY, MD
3577 W 13 MILE RD
SUITE 402
ROYAL OAK, MI48073-6710
 Phone: 248-551-9910
 Fax: 248-551-9912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADAM H LACKEY · (Male)

NPI Number 1922145291
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2007
Last updated 05/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10411900
  • NY License # 257557
Hospital affiliation(s)
  • LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS - (Acute Care)
    355 GRAND STREET
    JERSEY CITY, NJ 07302
  • NEWARK BETH ISRAEL MEDICAL CENTER - (Acute Care)
    201 LYONS AVE
    NEWARK, NJ 07112
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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