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

Van L Lackey, MD

Individual provider Hematology & Oncology Physician · NPI 1740284389

Van L Lackey, MD is a Hematology & Oncology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005
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

1227 N State St Ste 101
Jackson, MS 39202-2002
Phone: (601) 355-2485
Fax: (601) 353-1463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 06430 (MS)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 06430 (MS)

Record details

NPI number1740284389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESJune 18, 2010
Mailing address1227 N State St, Ste 101, Jackson, MS 39202-2002

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