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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMES M LACKEY, PA-C

Active

JAMES M LACKEY, PA-C is a Medical Physician Assistant healthcare provider located in NUTTER FORT, West Virginia. NPI 1497080717 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NUTTER FORT, WV

Registration Details

NPI Number
1497080717
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2009 (16.903868291387 yrs)
Last Updated
Oct 5, 2009
License
TEMP (WV)

Practice Information

Address
200 ROUTE 98 W ST
SUITE 103
NUTTER FORT, WV, 263014385
Browse WV providers · Browse ZIP 26301
Phone
3046236330
Fax
3046231333
Primary Specialty
Medical Physician Assistant
363AM0700X
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.