Organization
CHARLES L. LACKEY MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M HOLBROOK MD (OWNER)
(405) 366-8619
Entity
Organization
Contact information
Practice address
1515 NORTH PORTER AVE, SUITE 200, NORMAN, OK 73071-6446
(405) 366-8619
(405) 366-1839
Mailing address
1515 N PORTER AVE STE 200, NORMAN, OK 73071-6654
(405) 366-8619
(405) 366-1839
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12222
OK
Other
Enumeration date
07/30/2006
Last updated
10/22/2025
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