Jacob Gray Lackey PA-C

  • NPI 1699178731
According to our database, the NPI number for Jacob Gray Lackey PA-C is 1699178731 and activated since 9 years ago. Jacob Gray Lackey PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 3163 Gammon Ln, Clemmons, NC 27012. You can also contact Jacob Gray Lackey PA-C via telephone number is (336) 310-5571. Provider NPI information was last updated on 08/18/2021.

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Overview of Jacob Gray Lackey PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/03/2014
  • Last updated: 08/18/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 0010-05288
  • License State: NC

Provider Mailing Address

  • Address: Po Box 601843
    Charlotte, NC 28260
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 3163 Gammon Ln
    Clemmons, NC 27012
  • Phone: 336-310-5571
  • Fax: 336-310-5574

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 0010-05288
  • License State: NC
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacob Gray Lackey PA-C?
  • A: The npi number for Jacob Gray Lackey PA-C is 1699178731.
  • Q: What are Jacob Gray Lackey PA-C's specialties?
  • A: Jacob Gray Lackey PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jacob Gray Lackey PA-C?
  • A: The medical license number for Jacob Gray Lackey PA-C is 0010-05288 and issued in NC in USA.
  • Q: Where is Jacob Gray Lackey PA-C practice location?
  • A: Jacob Gray Lackey PA-C is practicing at 3163 Gammon Ln, Clemmons, NC 27012.
  • Q: How to contact Jacob Gray Lackey PA-C?
  • A: You can contact Jacob Gray Lackey PA-C via 336-310-5571.