| Doctor Name: | DR. ROBIN M LACKEY |
| NPI Number: | 1023349958 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LISW, PHD |
| License Number: | I-1419 |
| Business Practice Address: | 4262 Cactus Flower Ln Santa Fe, NM - 875070822 |
| Business Phone Number: | 5054382696 |
| Business Fax Number: | 5054383999 |
| Mailing Address: | 4262 Cactus Flower Ln, SANTA FE |
| State: | NM |
| Postal Code: | 875070822 |
| Phone Number: | 5054382696 |
| Fax Number: | 5054383999 |
| NPI Enumeration Date: | 01/15/2010 |
| NPI Last Update Date: | 01/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-1419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |