VAN L LACKEY

JACKSON, MS
NPI1740284389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RX0202X Internal Medicine, Medical Oncology
(Licence: MS  06430)
Additional Taxonomies207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MS  06430)
Enumeration Date2005-06-10
Last Update Date2010-06-18
Business Address
-- VAN L LACKEY M.D.
1227 N STATE ST STE 101
JACKSON, MS 39202-2002
Phone number: 601-355-2485
Mailing Address
-- VAN L LACKEY M.D.
1227 N STATE ST STE 101
JACKSON, MS 39202-2002
Phone number: 601-355-2485