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Contact Information

EDNA D LACKEY, RN MBA PH.D
11260 CHESTER RD
240
CINCINNATI, OH45246-4048
 Phone: 513-771-3412
 Fax: 513-771-1167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Diabetes Educator

163WD0400X
 

Health Educator

174H00000X
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for EDNA D LACKEY · (Female)

NPI Number 1922414044
Status Active
Credentials RN MBA PH.D
Entity Individual
Enumeration date 07/09/2014
Last updated 07/16/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # RN-257326
Hospital affiliation(s) Not Available
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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