← CMS Doctors and Clinicians

LOGAN LACKEY

DIAGNOSTIC RADIOLOGY · HANNIBAL, MO

Provider

NPI
1740506419
Credential
Primary specialty
DIAGNOSTIC RADIOLOGY
Gender
Male
Medical school
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation year
2010

Practice

Address
100 MEDICAL DR, HANNIBAL, MO 634016877
Phone
8324135302
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
JSON-LD · Markdown