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Primary Practice Address
500 S 11TH AVE
POCATELLO, ID 83201-4835 US
Accepts Medicare Payment

PECOS Enrolled

John Lackey

Specialist


John Lackey

Overview

John Lackey is a Specialist in the POCATELLO area and has over 31 years of experience. John Lackey primary office location is at 500 S 11TH AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994

John Lackey is affiliated with one hospital in the POCATELLO area, PORTNEUF MEDICAL CENTER. The NPI number is 1063456648 and the information was updated approximately 18 years ago.

John Lackey is affiliated with one medical group in the POCATELLO area, NOT TSOO GAH NEE INDIAN HEALTH.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
500 S 11TH AVE
POCATELLO, ID 83201-4835 US
Phone: (208)-232-3103
Fax:
Practice Mailing Information
700 CANYON DR
POCATELLO, ID 83201-4835 US
Phone: (208)-234-1921
Fax:
License NumberState
M3873ID

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