| Doctor Name: | DR. ROBERT JON LACKAMP |
| NPI Number: | 1356347892 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | R6792 |
| Business Practice Address: | 800 Raven Hill Drive Atchison, KS - 660029204 |
| Business Phone Number: | 9133672131 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1547, SEDALIA |
| State: | MO |
| Postal Code: | 653021547 |
| Phone Number: | 6608265960 |
| Fax Number: | 6608264852 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | R6792 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |