| Danville Osteopathic Internist P.s.c. | |
|
101 S 2nd St Danville KY 40422-1801 | |
| (859) 238-9310 | |
| (859) 238-9312 |
| Full Name | Danville Osteopathic Internist P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 S 2nd St, Danville, Kentucky |
| Authorized Official Name and Position | Todd F Lackney (PHYSICIAN) |
| Authorized Official Contact | 8592389310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danville Osteopathic Internist P.s.c. 101 S 2nd St Danville KY 40422-1801 Ph: (859) 238-9310 | Danville Osteopathic Internist P.s.c. 101 S 2nd St Danville KY 40422-1801 Ph: (859) 238-9310 |
| NPI Number | 1073718227 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 01/03/2013 |
| Medicare PECOS PAC ID | 6800821190 |
|---|---|
| Medicare Enrollment ID | O20051005001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073718227 | NPI | - | NPPES |
| 64034796 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 02678 (Kentucky) | Primary |
| Provider Name | Todd F Lackney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619938974 PECOS PAC ID: 5092894832 Enrollment ID: I20100908000650 |
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