Individual
ROBERT JON LACKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 661-7100
Mailing address
5501 S MCCOLL RD, STE 500, EDINBURG, TX 78539-5503
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0416055
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R6792
MO
Other
Enumeration date
06/21/2005
Last updated
03/10/2017
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