NPI age
17 years
Enumerated 2009-03-09
● Active Type 2 · Organization
Lackson Llc
Lackson Llc is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lackey
Co-Owner
Last NPPES update
2009-03-09
Source: monthly bulk 2026-05
How this organization compares
Across 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1023 Yellowstone Ave, D-1
Pocatello, ID 832014478
Mailing address
1023 Yellowstone Ave, D-1
Pocatello, ID 832014478
Authorized official
Janie B Lackey
Co-Owner
📞 2082341921
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Cindy Brown, LCSW Social Worker NPI 1417164138
- Carlie Horrocks Social Worker NPI 1669831889
- Dian Shawver, LMSW Social Worker NPI 1124269527
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807536100 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Maternal Instincts
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.