Individual provider · Type 1 NPI

Logan B. Lackey Ii, MD

Diagnostic Radiology Physician · Springfield, MO

NPI number 1740506419 Active

Practice location

2055 S Fremont Ave, Suite 120
Springfield, MO 65804-2206

Call (417) 820-2500 Map

Mailing address

2055 S Fremont Ave Ste 120
Springfield, MO 65804-2206

Other practice locations

  • 927 Broadway St, Quincy, IL 62301-2719 · (217) 223-8400

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2016020760 (MO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician 2085R0202X336119233 (IL)

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

24 other providers at this address

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About NPI 1740506419

Logan B. Lackey Ii, MD's National Provider Identifier is 1740506419, issued on Apr 20, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, MO. The record was last updated on Oct 13, 2026.