Active NPIIndividual provider

Pamela L Adams Lackey, PA-C

Physician Assistant in Manchester Center, Vermont

NPI Number1487998605
Practice location
Route 7A North, 5957 Main Street, Manchester Center, VT 05255-8913
Fax
—
Last updated
May 1, 2020

Pamela Lynn Adams Lackey is a Physician Assistant based in Manchester Center, VT. Pamela Lynn Adams Lackey practices in Manchester Center, VT and has the professional credentials of PA-C. The NPI Number for Pamela Lynn Adams Lackey is 1487998605 and holds a License No. 0550031150 (VT). The current practice location address for Pamela Lynn Adams Lackey is Route 7A North, 5957 Main Street, Manchester Center, VT 05255-8913 and can be reached out via phone at 802-362-4440.

Provider Profile Details

NPI Number
1487998605
Provider Name
Pamela Lynn Adams Lackey
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
Route 7A North, 5957 Main Street, Manchester Center, VT 05255-8913
Phone Number
802-362-4440
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2012
Last Update Date
May 1, 2020
Certification Date
May 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Route 7A North
5957 Main Street
Manchester Center, VT 05255-8913
State
Vermont
Zip
05255-8913
Phone Number
802-362-4440
Manchester Center, VT 05255Get directions →

Provider Business Mailing Address Details

Address
Route 7A North
5957 Main Street
Manchester Center, VT 05255-8913
City
Manchester Center
State
VT
Zip
05255-8913
Phone Number
802-362-4440

License Information

License Number
0550031150
License State
VT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pamela L Adams Lackey, PA-C?

The NPI number of Pamela L Adams Lackey, PA-C is 1487998605. It was assigned on November 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Pamela L Adams Lackey, PA-C?

Pamela L Adams Lackey, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 0550031150.

Where does Pamela L Adams Lackey, PA-C practice?

The practice location is Route 7A North, 5957 Main Street, Manchester Center, VT 05255-8913. The office can be reached at 802-362-4440 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487998605 directly on the NPPES registry website.

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