Lackson LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LACKSON LLC

Doing business as

Maternal Instincts

Practice address

1023 Yellowstone Ave
D-1
Pocatello, ID 83201-4478

Phone

(208) 234-8566

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Janie B Lackey

Title

Co-Owner

Phone

(208) 234-1921

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maternal Instincts Doing business as

Locations

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1932340668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 YELLOWSTONE AVE",
            "address_2": "D-1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014478",
            "telephone_number": "208-234-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 YELLOWSTONE AVE",
            "address_2": "D-1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014478",
            "telephone_number": "208-234-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-234-1921",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807536100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal Instincts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratory Corporation of America
• Laboratory Corporation of America
• Idelia Labra
• Aspyn Lacey
• John Lackey, MD
• Alexandria Lacroix
• Demetra Lally
• Jeanette Nicole Lamb, CNM
• Justus Flin Lambson, PA-C
• Michelle Lee Lance, SLP

• Durable Medical Equipment & Medical Supplies in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.