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Vicki Lackey, ANP
Family Nurse Practitioner in Munster, Indiana
NPI 1760421663

Vicki Lackey is a Family Nurse Practitioner based in Munster, IN and is specialized in Family. Vicki Lackey practices in Munster, IN and has the professional credentials of ANP. The NPI Number for Vicki Lackey is 1760421663 and holds a License No. 71001103 (Indiana).

The current practice location address for Vicki Lackey is 1950 45Th St Ste 200, Munster, IN and can be reached out via phone at 219-912-3376 and via fax at 219-529-6267.

Location: 1950 45Th St Ste 200, Munster, IN, 46321-3958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760421663
Provider Name
Vicki Lackey
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
1950 45Th St Ste 200, Munster, IN, 46321-3958
Phone Number
219-912-3376
Fax Number
219-529-6267
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200459250 05 IN
institution
Provider Business Practice Location Address Details
Address
1950 45Th St Ste 200
City
Munster
State
Indiana
Zip
46321-3958
Phone Number
219-912-3376
Fax Number
219-529-6267
person
Provider Business Mailing Address Details
Address
1950 45Th St Ste 200
City
Munster
State
Indiana
Zip
46321-3958
Phone Number
219-912-3376
Fax Number
219-529-6267
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71001103 (Indiana)
Definition
Definition to come...
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