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Dr. Jonathan E Lackner, MD
Urology Physician in Gallipolis, Ohio
NPI 1699790857

Jonathan E Lackner is a Urology Physician based in Gallipolis, OH. Jonathan E Lackner practices in Gallipolis, OH and has the professional credentials of MD. The NPI Number for Jonathan E Lackner is 1699790857 and holds a License No. 99-72 (Ohio).

The current practice location address for Jonathan E Lackner is 100 Jackson Pike, Gallipolis, OH and can be reached out via phone at 855-446-5937 and via fax at 740-446-5958.

Location: 100 Jackson Pike, Gallipolis, OH, 45631-1560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699790857
Provider Name
Jonathan E Lackner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
855-446-5937
Fax Number
740-446-5958
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340020617 01 NM RAILROAD MEDICARE
Z3796 05 NM
institution
Provider Business Practice Location Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
855-446-5937
Fax Number
740-446-5958
person
Provider Business Mailing Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
855-446-5937
Fax Number
740-446-5958
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
99-72 (New Mexico)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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