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Philip Lackey

Internist Infectious Disease

6115 Park South Dr Ste 100
Charlotte , North Carolina 28210-3281

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Philip Lackey

Internist Infectious Disease

6115 Park South Dr Ste 100
Charlotte , North Carolina 28210-3281

(704) 554-8787

Write a Review Save Call

Philip Lackey

Internist Infectious Disease

6115 Park South Dr Ste 100
Charlotte , North Carolina 28210-3281

(704) 554-8787 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Infectious Disease

Languages spoken

  • English

Location

6115 Park South Dr Ste 100 Charlotte , North Carolina 28210-3281

First Address

  • Philip Lackey
  • 6115 Park South Dr Ste 100
  • Charlotte, NC
  • Zip : 28210-3281
  • Phone : (704) 554-8787

Second Address

  • Philip Lackey
  • 6115 Park South Dr Ste 100
  • Charlotte, NC
  • Zip : 28210-3281
  • Phone : (704) 554-8787

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FAQs


Where did Philip Lackey attend graduate school?

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Where did Philip Lackey do his residency?

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Where did Philip Lackey do his fellowship?

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Is Philip Lackey board certified?

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What type of doctor is Philip Lackey

Internist

In what state does Philip Lackey practice in?

North Carolina

Where is Philip Lackey ’s practice located?

6115 Park South Dr Ste 100 , Charlotte, North Carolina, 28210-3281

What is Philip Lackey ’s gender?

Male

Is Philip Lackey a sole practitioner?

No

Is Philip Lackey accepting new patients?

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What languages does Philip Lackey speak?

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Does Philip Lackey accept insurance?

Yes, Philip Lackey accepts insurance

Does Philip Lackey offers telemedicine?

Philip Lackey has not indicated if he offers telemedicine

What is Philip Lackey ’s professional license number?

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What is Philip Lackey ’s NPI number?

1083690325

Does Philip Lackey have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207R00000X Internist 9600341 NC
Y 111NI0900X Internist 9600341 NC
N 207RI0200X Infectious Disease 9600341 NC
N 207RI0200X Infectious Disease MD20293 SC

National Provider Identifier

NPI 1083690325
Provider Name Philip Lackey
First Address Charlotte, NC 28210-3281
Second Address Charlotte, NC 28210-3281
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/12/2005
Last Update Date 29/05/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
E90912 (02) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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