Dr JACOB G LACKEY is a male medical professional, specializing in Physician Assistant. He graduated in 2014 from Medical University Of South Carolina College Of Medicine.
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC
2146 BLOWING ROCK RD
BOONE
NC
286076154
Tel: 8282655505
| Npi | 1699178731 |
| Pac Id | 6204150469 |
| Professional Enrollment Id | I20150115002445 |
| Last Name | LACKEY |
| First Name | JACOB |
| Middle Name | G |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC |
| Group Practice Pac Id | 5799877817 |
| Number Of Group Practice Members | 68 |
| Line 1 Street Address | 2146 BLOWING ROCK RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BOONE |
| State | NC |
| Zip Code | 286076154 |
| Phone Number | 8282655505 |
| Hospital Affiliation Ccn 1 | 340051 |
| Hospital Affiliation Lbn 1 | WATAUGA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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