Adams Lackey, Pamela Lynn
Adams Lackey, Pamela Lynn is an individual health care provider with primary practice located at Route 7A North 5957 Main Street, Manchester Center VT 05255-8913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Adams Lackey, Pamela Lynn can be contacted via phone (802) 362-4440.Contact Information
Primary practice address
Route 7A North 5957 Main Street
Manchester Center VT 05255-8913
Phone: (802) 362-4440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0550031150 | Vermont |
Profile Details
| NPI number | 1487998605 |
|---|---|
| LBN Legal business name | Adams Lackey, Pamela Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | May 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487998605 | NPPES |
| New Hampshire | MEDICAID | 33300169 | |
| New Hampshire | MEDICAID | 9000586 |
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