JACOB LACKEY

PA-C specializing in physician assistant in Clemmons, North Carolina

NPI: 1699178731

Provider Type

1

Practice Locations

Mailing Location

PO BOX 601843

CHARLOTTE, NC 28260

Practice Location

3163 GAMMON LN

CLEMMONS, NC 27012

📞 3363105571

📠 3363105574

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:10/3/2014
Last Updated:8/18/2021

Credentials

Primary Credential:PA-C