Leigh Ellen Lackey, is a
Registered Nurse - Psychiatric/mental Health based in Muskogee, Oklahoma. Leigh Ellen Lackey is licensed to practice in Oklahoma (license number 113833) and her current practice location is
619 N Main St, Muskogee, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 682-8407.
NPI number for Leigh Ellen Lackey is 1013044783 and her current mailing address is 3450 S 77th St W, Muskogee, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013044783.
Healthcare Provider's Profile
Full Name | Leigh Ellen Lackey |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 619 N Main St, Muskogee, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013044783
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 08/22/2023
Medical Identifiers
Medical identifiers for Leigh Ellen Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013044783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 113833 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leigh Ellen Lackey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leigh Ellen Lackey, 3450 S 77th St W, Muskogee, OK 74401-8355 Ph: () - | Leigh Ellen Lackey, 619 N Main St, Muskogee, OK 74401-4431 Ph: (918) 682-8407 |
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