Individual provider · Type 1 NPI

James M. Lackey, PA-C

Medical Physician Assistant · Nutter Fort, WV

NPI number 1497080717 Active

About NPI 1497080717

James M. Lackey, PA-C's National Provider Identifier is 1497080717, issued on Oct 5, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nutter Fort, WV. The record was last updated on Oct 5, 2009.