Holly Marie Lackey, RN is a
Registered Nurse - Pediatrics based in Ben Wheeler, Texas. Holly Marie Lackey is licensed to practice in Texas (license number 795338) and her current practice location is
176 Vzcr 4714, Ben Wheeler, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 279-6547.
NPI number for Holly Marie Lackey is 1407400666 and her current mailing address is Po Box 422, Ben Wheeler, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407400666.
Provider's Profile
| Full Name | Holly Marie Lackey |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Pediatrics |
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| Location | 176 Vzcr 4714, Ben Wheeler, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407400666
- Provider Enumeration Date: 07/26/2019
- Last Update Date: 07/26/2019
Medical Identifiers
Medical identifiers for Holly Marie Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407400666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0200X | Registered Nurse - Pediatrics | 795338 (Texas) | 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. Holly Marie 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 |
|---|
Holly Marie Lackey, RN
Po Box 422,
Ben Wheeler, TX 75754-0422
Ph: () - | Holly Marie Lackey, RN
176 Vzcr 4714,
Ben Wheeler, TX 75754-0422
Ph: (903) 279-6547 |
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