ROY JARETH LACKEY

FPO, AE
NPI1962169011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA62549)
Enumeration Date2021-11-23
Last Update Date2026-08-24
Business Address
ROY JARETH LACKEY PA-C
PSC 819 BOX 18
FPO, AE
Phone number: 314-727-3606
Mailing Address
ROY JARETH LACKEY PA-C
32863 ABANA CT
TEMECULA, CA 92592-9271
Phone number: 843-597-5477
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