| Pamela Lynn Adams Lackey, PA-C | |
|
Route 7a North, 5957 Main Street, Manchester Center, VT 05255-8913 | |
| (802) 362-4440 | |
| Not Available |
| Full Name | Pamela Lynn Adams Lackey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | Route 7a North, Manchester Center, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487998605 | NPI | - | NPPES |
| 33300169 | Medicaid | NH | |
| 9000586 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0550031150 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Lynn Adams Lackey, PA-C Route 7a North, 5957 Main Street, Manchester Center, VT 05255-8913 Ph: (802) 362-4440 | Pamela Lynn Adams Lackey, PA-C Route 7a North, 5957 Main Street, Manchester Center, VT 05255-8913 Ph: (802) 362-4440 |