MR. MICHAEL STEPHEN LACKNEY (NPI# 1083868186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083868186 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL STEPHEN LACKNEY |
| Credential | CORPSMAN |
| Practice Address |
Dthc Arlington Navy Annex Clinic F.o.b. #2 Room 1323 Washington DC 20370-0001 |
| Practice Telephone | 7036142726 |
| Practice Fax Number | 7036141593 |
| Mailing Telephone | 7036142726 |
| Mailing Fax Number | 7036141593 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
DTHC ARLINGTON NAVY ANNEX CLINIC F.O.B. #2 ROOM 1323 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20370-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215027008 | Brian Park | Radiology | Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001 | 2006-10-13 |
| 1144519794 | Christina Wagner | Psychologist | Walter Reed Army Medical Ctr, Building 6, Psychology, Washington, DC 20370-0001 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1811598709 | Emily Ann Brown | Nutritionist | 4316 Alabama Ave Se, Washington, DC 20019-3001 | 2020-11-05 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| Find all providers in WASHINGTON | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912359548 | Jessica Lee Nash | Military Health Care Provider | 5811 Army Pentagon # 8, Washington, DC 20310-0001 | 2016-07-07 |
| 1013097674 | James C. Morgan | Military Health Care Provider | Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2006-10-17 |
| 1033138896 | Brian A Richardson | Military Health Care Provider | 2100 2nd Street South West, Washington, DC 20593-0001 | 2006-07-19 |
| 1275502551 | Christopher Lee Brey | Military Health Care Provider | Bureau of Medicine and Surgery, 2300 E Street, Nw, Washington, DC 20372-5300 | 2006-03-17 |
| 1760451520 | Ralph Sanchez | Military Health Care Provider | 5801 Army Pentagon, Washington, DC 20310-5801 | 2006-03-15 |
| 1033196597 | Kevin Joseph Bishop | Military Health Care Provider | U.S. Coast Guard, 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2005-12-27 |
| 1811245772 | Delita Danyelle Shields | Military Health Care Provider | 915 N St Se, Building: 175, Washington, DC 20374-5162 | 2012-08-27 |
| 1538340765 | Rorai Greenan | Military Health Care Provider | Uscg Hq Comdt (cg1122), 2100 Second Street Sw, Washington, DC 20593-0001 | 2007-11-15 |
| 1710020763 | Ryan Michael Gauger | Military Health Care Provider | Comdt Cg-1122 Us Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 | 2007-02-15 |
| 1821137449 | Darin William Schneider | Military Health Care Provider | 2100 2nd St Sw, Washington, DC 20593-0002 | 2007-02-06 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20370 |
Please comment or provide details below to improve the information on MR. MICHAEL STEPHEN LACKNEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.