Individual provider · Type 1 NPI

Robert L. Lackey, PA

Surgical Physician Assistant · Asheville, NC

NPI number 1700981206 Active

Practice location

7 Vanderbilt Park Dr
Asheville, NC 28803-1700

Call (828) 255-7776 Map

Fax (282) 274-5134

Mailing address

PO Box 602811
Charlotte, NC 28260-2811

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X742 (GA)
Physician Assistant 363A00000X0010-05849 (NC)
Surgical Physician Assistant Primary 363AS0400X0010-05849 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1700981206

Robert L. Lackey, PA's National Provider Identifier is 1700981206, issued on Sep 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Asheville, NC. The record was last updated on Dec 29, 2015.