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

Individual provider Internal Medicine Physician · NPI 1174554646

Vernon Henry Lackman, MD is an Internal Medicine in Canyon Country, California. Graduated from University of California, Geffen School of Medicine in 1988, 38 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
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

17909 Soledad Canyon Rd
Canyon Country, CA 91387-3210
Phone: (661) 250-5244
Fax: (661) 251-7308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G67735 (CA)

Record details

NPI number1174554646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMarch 26, 2014
Mailing addressPo Box 9602, Mission Hills, CA 91346-9602

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Providence Facey Medical Foundation — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Canyon Country