Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN LACK, P.A.-C
ActiveKEVIN LACK, P.A.-C is a Surgical Physician Assistant healthcare provider located in AUGUSTA, Georgia. NPI 1417924028 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · AUGUSTA, GA
Registration Details
- NPI Number
- 1417924028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2006 (20.431916055957 yrs)
- Last Updated
- Mar 10, 2025
- Licenses
-
PA-1765 (ID)PA1198 (SC)PA0000001669 (TN)PA9106353 (FL)4292 (GA)
Practice Information
- Address
-
3675 J DEWEY GRAY CIRCLESUITE 300AUGUSTA, GA, 309091868Browse GA providers · Browse ZIP 30909
- Phone
- 7068639595
- Fax
- 8887453917
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| JOHNNA W RUFFIN | P.A.-C | 1376510982 |
| JANICE M MILLER | P.A.-C | 1447227053 |
| CHARLES A GERTLER | P.A.-C | 1356318679 |
| JEANINE LINEHAN-BURACK | P.A.-C. | 1336108141 |
| DENA MARIE HAMMOND | PA-C | 1033168463 |
| MR. FRANK ANDREW EBERHEART | PA-C | 1134172521 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.