Betty Jane Lackey
Family Doctor - Geriatric Medicine Family Doctor - Hospice and Palliative Medicine
255 Enterprise Blvd Ste 101
Greenville
, South Carolina 29615-3530
Betty Jane Lackey
Family Doctor - Geriatric Medicine Family Doctor - Hospice and Palliative Medicine
255 Enterprise Blvd Ste 101
Greenville
, South Carolina 29615-3530
(864) 512-1000
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Betty Jane Lackey
- 800 N Fant St
- Anderson, SC
- Zip : 29621-5708
- Phone : (864) 512-1000
Second Address
- Betty Jane Lackey
- 255 Enterprise Blvd Ste 101
- Greenville, SC
- Zip : 29615-3530
- Fax : (864) 454-8125
- Phone : (864) 454-8120
Reviews
FAQs
Where did Betty Jane Lackey attend graduate school?
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Where did Betty Jane Lackey do her fellowship?
Is Betty Jane Lackey board certified?
What type of doctor is Betty Jane Lackey
In what state does Betty Jane Lackey practice in?
Where is Betty Jane Lackey ’s practice located?
What is Betty Jane Lackey ’s gender?
Is Betty Jane Lackey a sole practitioner?
Is Betty Jane Lackey accepting new patients?
What languages does Betty Jane Lackey speak?
Does Betty Jane Lackey accept insurance?
Does Betty Jane Lackey offers telemedicine?
What is Betty Jane Lackey ’s professional license number?
What is Betty Jane Lackey ’s NPI number?
Does Betty Jane Lackey have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 36751 | SC |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 36751 | SC |
National Provider Identifier
| NPI | 1043448509 |
|---|---|
| Provider Name | Betty Jane Lackey |
| First Address | Anderson, SC 29621-5708 |
| Second Address | Greenville, SC 29615-3530 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2009 |
| Last Update Date | 08/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 367515 | (05) | SC |
| NPI # | BLUE CHOICE (01) | SC |
| NPI # | BLUE CROSS (01) | SC |
| NPI # | TRICARE (01) | SC |
| P01624384 | RR MEDICARE (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.