Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Logan B Lackey II, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740506419

Dr. Logan B Lackey II, MD is a Diagnostic Radiology in Springfield, Missouri. Graduated from Northeastern Ohio University College of Medicine in 2010, 16 years ago. Practices with Specialists in Medical Imaging, SC, a 221-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Trained at
Northeastern Ohio University College of Medicine
Licensed in
MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2055 S Fremont Ave Ste 120
Springfield, MO 65804-2206
Phone: (417) 820-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2016020760 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740506419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2010
Last updated in NPPESJuly 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Specialists In Medical Imaging, Sc — 221 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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