Individual provider · Type 1 NPI

Summer Elizabeth Lackey, PA

Physician Assistant · Statesville, NC

NPI number 1003514456 Active

Practice location

705 Gaither Rd
Statesville, NC 28625-3450

Call (704) 871-1155 Map

Fax (704) 872-2484

Mailing address

PO Box 1845
Statesville, NC 28687-1845

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-12966 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003514456

Summer Elizabeth Lackey, PA's National Provider Identifier is 1003514456, issued on Feb 15, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Statesville, NC. The record was last updated on Mar 27, 2023.