person
James M Lackey, PA-C
Medical Physician Assistant in Nutter Fort, West Virginia
NPI 1497080717

James M Lackey is a Medical Physician Assistant based in Nutter Fort, WV and is specialized in Medical. James M Lackey practices in Nutter Fort, WV and has the professional credentials of PA-C. The NPI Number for James M Lackey is 1497080717 and holds a License No. TEMP (West Virginia).

The current practice location address for James M Lackey is 200 Route 98 W St, Nutter Fort, WV and can be reached out via phone at 304-623-6330 and via fax at 304-623-1333.

Location: 200 Route 98 W St, Nutter Fort, WV, 26301-4385
person
Provider Profile Details
NPI Number
1497080717
Provider Name
James M Lackey
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Route 98 W St, Nutter Fort, WV, 26301-4385
Phone Number
304-623-6330
Fax Number
304-623-1333
Provider Enumeration Date
10/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Route 98 W St
City
State
Zip
26301-4385
Phone Number
304-623-6330
Fax Number
304-623-1333
person
Provider Business Mailing Address Details
Address
200 Route 98 W St
City
State
Zip
26301-4385
Phone Number
304-623-6330
Fax Number
304-623-1333
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
TEMP (West Virginia)
Definition
Definition to come...
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