Summer Elizabeth Lackey, PA

NPI #1003514456 in Statesville, North Carolina

Provider Information

NPI Number: 1003514456
Entity Type: Individual
Name: Summer Elizabeth Lackey, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 15, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 705 GAITHER RD
City: Statesville
State: North Carolina
ZIP Code: 28625-3450
Phone: (704) 871-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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