Individual provider · Type 1 NPI

Jeffrey L. Lackore, PA

Physician Assistant · Roanoke, VA

NPI number 1306879192 Active

Practice location

6120 Sandhurst Dr
Roanoke, VA 24018-7798

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110001943 (VA)
Physician Assistant 363A00000XPA20332 (CA)

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 1306879192

Jeffrey L. Lackore, PA's National Provider Identifier is 1306879192, issued on Jul 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roanoke, VA. The record was last updated on Aug 24, 2009.