1. Home
  2. Directory
  3. Oklahoma
  4. Norman
  5. Internal Medicine
  6. NPI Profile

CHARLES L. LACKEY MD, PC
NPI 1144235995
Internal Medicine - Gastroenterology in Norman, OK

Active since July 30, 2006CLIA 37D0469907 · Waiver
1515 NORTH PORTER AVE, SUITE 200, NORMAN, OK 73071(405) 366-8619(405) 366-1839 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles L. Lackey Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES L. LACKEY MD, PC (NPI 1144235995) is a healthcare organization registered as a gastroenterology in Norman, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Robert M Holbrook, Owner, as its authorized official.

NPPES Registry Identity

NPI1144235995
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCHARLES L. LACKEY MD, PC
Location Address1515 NORTH PORTER AVE, SUITE 200Norman, OK 73071-6446
Mailing Address1515 N Porter Ave Ste 200Norman, OK 73071-6654 · (405) 366-8619 · Fax (405) 366-1839
Phone(405) 366-8619
Fax(405) 366-1839
Organization SubpartNo
Authorized OfficialRobert M HolbrookOwner · (405) 366-8619
Enumeration DateJuly 30, 2006
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1144235995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OK · 12222
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1515 NORTH PORTER AVE, Norman, OK 73071
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0469907

Charles L Lackey MD · Norman, OK
Active · expires Mar 19, 2027
CLIA Number37D0469907
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorCharles L. Lackey
Laboratory Phone(405) 366-8619
Laboratory LocationCharles L Lackey MD1515 N Porter Suite #200, Norman, OK 73071
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles L. Lackey MD, PC's NPI number?

The NPI number for Charles L. Lackey MD, PC is 1144235995. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Charles L. Lackey MD, PC located?

Charles L. Lackey MD, PC is located at 1515 North Porter Ave Suite 200, Norman, OK 73071. The listed phone number is (405) 366-8619.

What is Charles L. Lackey MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Charles L. Lackey MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0469907) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charles L. Lackey MD, PC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.