Van L Lackey, MD - Internal Medicine in Jackson, MS

Van L Lackey, MD is a Internal Medicine - Medical Oncology physician based in Jackson, Mississippi. Van L Lackey is licensed to practice in Mississippi (license number 06430) and his current practice location is 1227 N State St, Ste 101, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 355-2485.

NPI number for Van L Lackey is 1740284389 and his current mailing address is 1227 N State St, Ste 101, Jackson, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740284389.

Contact Information

Van L Lackey, MD
1227 N State St, Ste 101,
Jackson, MS 39202-2002
(601) 355-2485
(601) 353-1463

Map and Direction




Physician's Profile

Full NameVan L Lackey
GenderMale
SpecialityInternal Medicine - Medical Oncology
Location1227 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740284389
  • Provider Enumeration Date: 06/10/2005
  • Last Update Date: 06/18/2010

Medical Identifiers

Medical identifiers for Van L Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740284389NPI-NPPES
4285654OtherAETNA HEALTHCARE
00115429MedicaidMS
1541575MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 06430 (Mississippi)Secondary
207RX0202XInternal Medicine - Medical Oncology 06430 (Mississippi)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. Van L 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 AddressPractice Location Address
Van L Lackey, MD
1227 N State St, Ste 101,
Jackson, MS 39202-2002

Ph: (601) 355-2485
Van L Lackey, MD
1227 N State St, Ste 101,
Jackson, MS 39202-2002

Ph: (601) 355-2485

Reviews and Comments


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