Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN DAVID LACKEY, ATC
ActiveIAN DAVID LACKEY, ATC is a Athletic Trainer healthcare provider located in VERMILLION, South Dakota. NPI 1609325539 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VERMILLION, SD
Registration Details
- NPI Number
- 1609325539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2016 (10.068866046872 yrs)
- Last Updated
- Oct 4, 2016
- License
-
0460 (SD)
Practice Information
- Address
-
414 E CLARK STVERMILLION, SD, 570692307Browse SD providers · Browse ZIP 57069
- Phone
- 6056585541
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in VERMILLION, SD
| Name | Credential | NPI |
|---|---|---|
| BRUCE E. FISCHBACH | ATC | 1982664512 |
| MRS. AMY R RICHARDSON | ATC | 1700847407 |
| MS. LINDSAY JEAN RUPP | ATC | 1619189073 |
| KATE HERRBOLDT | ATC | 1467872267 |
| TYLER DOPHEIDE | — | 1922413020 |
| KYLEA JO SHELEY | ATC | 1669905766 |
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.