Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY LAKE MCCOY, PA-C
Active Sole ProprietorMALLORY LAKE MCCOY, PA-C is a Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1699149906 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RALEIGH, NC
Registration Details
- NPI Number
- 1699149906
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2015 (10.734183745314 yrs)
- Last Updated
- May 24, 2023
- License
-
0010-06072 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4601 LAKE BOONE TRL STE 1BRALEIGH, NC, 276077503Browse NC providers · Browse ZIP 27607
- Phone
- 9197811800
- Fax
- 9197811899
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL EDWARD WIEGERT | PA-C | 1104822592 |
| ELIZABETH FULLER | PA | 1144228008 |
| PAMELA BURLESON | PA-C | 1447258306 |
| I-LING YU | PA-C | 1477551364 |
| MRS. ELIZABETH JAYNES TURNER | PA-C | 1134127905 |
| MR. DANA W JOHNSON | PA-C | 1659379428 |
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.