JACOB LACKEY, PA-C

PA-C

Physician Assistant

NPI: 1699178731IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

0010-05288(NC)

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

001005288(NC)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2014

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Contact & Hours

Address: 3163 GAMMON LN
CLEMMONS, NC 27012
Phone: (336) 310-5571

Quick Facts

NPI: 1699178731
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 12

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