BEVERLY ANN LACKEY REGISTERED NURSE NPI 1902377195

NPI Information

NPI: 1902377195
Provider Name: BEVERLY ANN LACKEY, REGISTERED NURSE
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
1100 W 6TH AVE
GARY, IN
ZIP 46402
Phone: (219) 885-4228
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Beverly Ann Lackey, REGISTERED NURSE is a case management registered nurse in Gary, IN. Beverly Ann Lackey, REGISTERED NURSE NPI is 1902377195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 W 6TH AVE
GARY, IN
ZIP 46402-711
Phone: (219) 885-4228

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	28212549A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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