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

JUSTIN TREVOR LACKEY, MD

Active

JUSTIN TREVOR LACKEY, MD is a Critical Care Medicine healthcare provider located in WINSTON SALEM, North Carolina. NPI 1497333512 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · WINSTON SALEM, NC

Registration Details

NPI Number
1497333512
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2021 (5.4155319710659 yrs)
Last Updated
Oct 3, 2024
Licenses
0101281117 (VA)
317799 (NC)

Practice Information

Address
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC, 271573465
Browse NC providers · Browse ZIP 27157
Phone
3367167246
Fax
3367168773
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in WINSTON SALEM, NC

Name Credential NPI
SEAN MICHAEL MURPHY MD 1922081223
JASON WILLIAM WHITE THOMASON MD 1558345942
JOHN FRANK CONFORTI DO 1639153489
DREW ALAN MACGREGOR MD 1013994904
ELIZABETH C DETERDING MD 1033187331
TODD JON OSWALD MD 1992750434
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.