Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENA D LACKMAN, MD
ActiveKENA D LACKMAN, MD is a Family Medicine healthcare provider located in BUHL, Idaho. NPI 1427583285 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BUHL, ID
Registration Details
- NPI Number
- 1427583285
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2017 (9.3109793628094 yrs)
- Last Updated
- Dec 2, 2024
- Licenses
-
MRM-1634 (ID)M-14465 (ID)
Practice Information
- Address
-
725 FAIR STBUHL, ID, 833166442Browse ID providers · Browse ZIP 83316
- Phone
- 2085438271
- Fax
- 2085438272
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BUHL, ID
| Name | Credential | NPI |
|---|---|---|
| JOSHUA TED STRINGAM | D.O. | 1164860078 |
| LAUREN CLELLAND | MD | 1336761063 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.