Organization
DANVILLE OSTEOPATHIC INTERNIST P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD F LACKNEY D.O., M.S., P.T. (PHYSICIAN)
(859) 238-9310
Entity
Organization
Contact information
Practice address
101 S 2ND ST, DANVILLE, KY 40422-1801
(859) 238-9310
(859) 238-9312
Mailing address
101 S 2ND ST, DANVILLE, KY 40422-1801
(859) 238-9310
(859) 238-9312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02678
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64034796
—
KY
Enumeration date
06/18/2007
Last updated
01/03/2013
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