SUMMER ELIZABETH LACKEY

STATESVILLE, NC
NPI1003514456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12966)
Enumeration Date2023-02-15
Last Update Date2023-03-27
Business Address
SUMMER ELIZABETH LACKEY PA
705 GAITHER RD
STATESVILLE, NC 28625-3450
Phone number: 704-871-1155
Mailing Address
SUMMER ELIZABETH LACKEY PA
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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