Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
VICKI LACKEY
Active
Individual
VICKI LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001103
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200459250
—
IN
Enumeration date
06/06/2006
Last updated
10/03/2022
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