NPI
Independent Healthcare Management, Inc.
Doing business as Lackey Pediatric Clinic. NPI 1154670719
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2012-08-29
- Last updated
- 2020-05-26
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Specialties
Licenses
- License MS
- 13-033
Location
- Practice location
- 1129 Highway 35 S, Suite 1
- City
- Forest MS
- Postal code
- 39074-8829
- Phone
- (601) 849-6440
Organization contact
- Name
- John Lee
- Title
- Chairman of the Board
- Phone
- (601) 849-6440
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Forest, MS. 182 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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