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Leigh Ellen Lackey
Psychiatric/Mental Health Registered Nurse in Muskogee, Oklahoma
NPI 1013044783

Leigh Ellen Lackey is a Psychiatric/Mental Health Registered Nurse based in Muskogee, OK and is specialized in Psychiatric/Mental Health. Leigh Ellen Lackey practices in Muskogee, OK. The NPI Number for Leigh Ellen Lackey is 1013044783 and holds a License No. (Oklahoma).

The current practice location address for Leigh Ellen Lackey is 619 N Main St, Muskogee, OK and can be reached out via phone at 918-682-8407.

Location: 619 N Main St, Muskogee, OK, 74401-8355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013044783
Provider Name
Leigh Ellen Lackey
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 N Main St, Muskogee, OK, 74401-8355
Phone Number
918-682-8407
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-8407
Fax Number
person
Provider Business Mailing Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-8407
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
113833 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
()
Definition
Definition to come...
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