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1285625640
CHARLES LEE LACKEY
NORMAN, OK
NPI
1285625640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OK 12222)
Enumeration Date
2005-11-03
Last Update Date
2015-02-25
Business Address
Mr. CHARLES LEE LACKEY M.D.
1515 N PORTER AVE SUITE 200
NORMAN, OK 73071-6649
Phone number: 405-366-8619
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Mailing Address
Mr. CHARLES LEE LACKEY M.D.
1515 N PORTER AVE SUITE 200
NORMAN, OK 73071-6649
Phone number: 405-366-8619
Copy
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