Individual
DR. OTHO M. LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4199 GATEWAY BLVD, STE 2400, NEWBURGH, IN 47630-8954
(812) 858-4600
(812) 858-4601
Mailing address
4199 GATEWAY BLVD, STE 2400, NEWBURGH, IN 47630-8954
(812) 858-4600
(812) 858-4601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01029297A
IN
Other
Enumeration date
05/31/2005
Last updated
07/24/2007
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