| NPI | 1205951605 |
|---|---|
| Other Name | JOHN K. LACKEY, D.O. |
| Entity Type | Organization |
| Authorized Contact | JOHN K LACKEY Owner Physician 304-872-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 736 WV) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-02-21 |