Individual provider · Type 1 NPI

Jeffrey S. Lackey, MD

Diagnostic Radiology Physician · Conway, SC

NPI number 1184600587 Active

Practice location

300 Singleton Ridge Rd
Conway, SC 29526-9142

Call (843) 238-8660 Map

Mailing address

PO Box 51030
Myrtle Beach, SC 29579-0018

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X21294 (SC)
Vascular & Interventional Radiology Physician 2085R0204X21294 (SC)
Body Imaging Physician 2085B0100X21294 (SC)
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X21294 (SC)
Diagnostic Ultrasound Physician 2085U0001X21294 (SC)
Neuroradiology Physician 2085N0700X21294 (SC)
Nuclear Radiology Physician 2085N0904X21294 (SC)
Pediatric Radiology Physician 2085P0229X21294 (SC)
Radiation Oncology Physician 2085R0001X21294 (SC)
Radiological Physics Physician 2085R0205X21294 (SC)
Therapeutic Radiology Physician 2085R0203X21294 (SC)
Nuclear Medicine Physician 207U00000X21294 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1184600587

Jeffrey S. Lackey, MD's National Provider Identifier is 1184600587, issued on Dec 16, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Conway, SC. The record was last updated on Aug 8, 2014.