| Richelle Lackey, PA-C | |
|
200 Medical Park Blvd, Petersburg, VA 23805-9274 | |
| (804) 765-5000 | |
| Not Available |
| Full Name | Richelle Lackey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 200 Medical Park Blvd, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518644467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richelle Lackey, PA-C 10911 August Ct, Chesterfield, VA 23832-7041 Ph: () - | Richelle Lackey, PA-C 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5000 |
Douglas Cohrs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 703-431-9975 | |
Michelle A Cooper, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 | |
Brian Wayne Mccauley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Corwin Bernard, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 480-600-0948 | |
Nina Thi Ong-pham, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Miss Shrinal Suryakant Patel, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Krysten M Bishop, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 |