Michael Stephen Lackney, CORPSMAN

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

DTHC Arlington Navy Annex Clinic
F.O.B. #2 Room 1323
Washington, DC 20370-0001

Phone

(703) 614-2726

Fax

(703) 614-1593

NPI assigned

Nov 17, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1083868186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DTHC ARLINGTON NAVY ANNEX CLINIC",
            "address_2": "F.O.B. #2 ROOM 1323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203700001",
            "telephone_number": "703-614-2726",
            "fax_number": "703-614-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DTHC ARLINGTON NAVY ANNEX CLINIC",
            "address_2": "F.O.B. #2 ROOM 1323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203700001",
            "telephone_number": "703-614-2726",
            "fax_number": "703-614-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKNEY",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "CORPSMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lacava, CPNP-PC, PMHS
• Christie Lacayo, OTR/L
• Jessica Lachcik
• Alexandra Lachmann, PA
• Ernest E Lack, MD
• Susan Lacks, M.D.
• Kathryn Delphine Lacroix, OTD, OTR/L
• Matthew Lacroix, MSN, FNP, CPHON
• Gabrielle Davis Lacy, MD
• Latoya Lacy

• Independent Duty Corpsman in Washington, DC
• Providers in Washington, DC by specialty
• Independent Duty Corpsman in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.