IndividualActive
Phillip Lackey, MD
NPI 1902929219 · Plastic and Reconstructive Surgery Physician · Huntington, WV
Provider details
- NPI number
- 1902929219
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35.113919 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1540 Spring Valley Dr
Huntington, WV 25704-9501
Phone: (304) 429-6741
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2379
Ashland, KY 41105-2379
Additional practice locations (1)
- 617 23rd St Ste 105Ashland, KY 41101-2890Phone: (606) 408-7500Fax: (606) 408-6600
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2022-07-07
- Certified
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.