IndividualActive
Adam Lackey, M.D.
NPI 1922145291 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Royal Oak, MI
Provider details
- NPI number
- 1922145291
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10411900 (NJ)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 25MA10411900 (NJ)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3577 W 13 Mile Rd
Suite 402
Royal Oak, MI 48073-6710
Phone: (248) 551-9910
Fax: (248) 551-9912
Approximate (ZIP-level) locationGet directions
Mailing address
3 Executive Dr Ste 400
Somerset, NJ 08873-4007
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2024-05-01
- Certified
- 2024-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.