Timothy C Lackey
MD | Pediatrics | Male
Timothy C Lackey, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Timothy C Lackey is
3555 Sunset Office Dr, Suite 101, Saint Louis, Missouri - 63127-1015. He can be contacted on phone at
314-966-0252.
Timothy C Lackey is a sole proprietor of his business.
NPI number (Unique professional ID) for Timothy C Lackey is
1679529382 which was assigned by NPPES on 25 May, 2006 and it was last updated on 04 Feb, 2013.
Timothy C Lackey license number is
103240 for Pediatrics (208000000X) in Missouri.
Timothy C Lackey is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Timothy C Lackey basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Timothy C Lackey |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Timothy C Lackey address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3555 Sunset Office Dr, Suite 101
Saint Louis, MO, 63127-1015
United States |
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| Phone Number : | 314-966-0252 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679529382 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 May, 2006 |
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| Last Updated On : | 04 Feb, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy C Lackey are as mentioned. Primary taxonomy code for Timothy C Lackey, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 103240 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Timothy C Lackey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 209684513 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3555 Sunset Office Dr, Suite 107
Saint Louis, MO, 63127-1015
United States |
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| Phone Number : | 314-822-5914 |
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Business Location:
Patients can refer following map for directions to
Timothy C Lackey practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.