Individual
TIMOTHY SCOTT LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
30 W SHERMAN ST, HUTCHINSON, KS 67501-5428
(620) 663-5632
(620) 663-4986
Mailing address
30 W SHERMAN ST, HUTCHINSON, KS 67501-5428
(620) 663-5632
(620) 663-4986
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4521
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060008
BCBS
KS
Enumeration date
07/26/2005
Last updated
10/11/2011
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