Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LOGAN B LACKEY II, M.D.
Active Sole ProprietorDR. LOGAN B LACKEY II, M.D. is a Diagnostic Radiology healthcare provider located in SPRINGFIELD, Missouri. NPI 1740506419 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1740506419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2010 (16.355915536722 yrs)
- Last Updated
- Jul 5, 2016
- License
-
2016020760 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2055 S FREMONT AVESUITE 120SPRINGFIELD, MO, 658042206Browse MO providers · Browse ZIP 65804
- Phone
- 4178202500
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| MEGHAN R MCKEON | M.D. | 1316926215 |
| JAMES RICHARD WOLSKI | M.D. | 1164490298 |
| CHRISTINE E WESTER | M.D. | 1366401457 |
| LANNY ROSS BRENT | M.D. | 1922067743 |
| ANNE AMELIA SMID | M.D. | 1902865702 |
| WILLIAM DAVID SHARPE | M.D. | 1588624738 |
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.