TIMOTHY C LACKEY

SAINT LOUIS, MO
NPI1679529382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  103240)
Enumeration Date2006-05-25
Last Update Date2013-02-04
Business Address
-- TIMOTHY C LACKEY MD
3555 SUNSET OFFICE DR SUITE 101
SAINT LOUIS, MO 63127-1015
Phone number: 314-966-0252
Mailing Address
-- TIMOTHY C LACKEY MD
3555 SUNSET OFFICE DR SUITE 107
SAINT LOUIS, MO 63127-1015
Phone number: 314-822-5914
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