VAN L LACKEY M.D.
NPI 1740284389
Internal Medicine - Medical Oncology in Jackson, MS

Active since June 10, 2005
1227 N STATE ST, STE 101, JACKSON, MS 39202(601) 355-2485(601) 353-1463 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Van L Lackey M.d. NPPES

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

VAN L LACKEY M.D. (NPI 1740284389) is an individual medical oncology provider in Jackson, Mississippi, licensed in Mississippi (06430) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1740284389
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameVAN L LACKEYCredential: M.D.
Location Address1227 N STATE ST, STE 101Jackson, MS 39202-2002
Mailing Address1227 N State St, Ste 101Jackson, MS 39202-2002 · (601) 355-2485 · Fax (601) 353-1463
Fax(601) 353-1463
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateJune 18, 2010
NPI 1740284389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in MS · 06430
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 06430 (MS)
1227 N STATE ST, Jackson, MS 39202

Other Identifiers 4

Medicare UPINB30410
Other4285654Aetna Healthcare
Medicaid00115429MS
Medicaid1541575LA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Medical Oncology)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Internal Medicine (Hematology & Oncology)
1227 N STATE ST, SUITE 101
JACKSON, MS 39202
Internal Medicine (Hematology & Oncology)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Nurse Practitioner (Family)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Internal Medicine (Hematology & Oncology)
1227 N STATE ST, STE 101
JACKSON, MS 39202
Nurse Practitioner (Family)
1227 N STATE ST, STE 101
JACKSON, MS 39202

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 Van Lackey's NPI number?

The NPI number for Van Lackey is 1740284389. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Van Lackey located?

Van Lackey practices at 1227 N State St Ste 101, Jackson, MS 39202. The listed phone number is (601) 355-2485.

What is Van Lackey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Van Lackey was last updated on June 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.