IndividualActive
Amanda Lackey, MD
NPI 1194041855 · Diagnostic Radiology Physician · Saint Louis, MO
Provider details
- NPI number
- 1194041855
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2016018709 (MO)
Practice location
510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Mailing address
Po Box 60352
Saint Louis, MO 63160-0352
Registry dates
- Enumerated
- 2010-04-20
- Last updated
- 2025-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.