| Jeffrey L Lackore, PA | |
|
6120 Sandhurst Dr, Roanoke, VA 24018-7798 | |
| (712) 253-6104 | |
| Not Available |
| Full Name | Jeffrey L Lackore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6120 Sandhurst Dr, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306879192 | NPI | - | NPPES |
| 1306879192 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001943 (Virginia) | Primary |
| 363A00000X | Physician Assistant | PA20332 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Lackore, PA 6120 Sandhurst Dr, Roanoke, VA 24018-7798 Ph: () - | Jeffrey L Lackore, PA 6120 Sandhurst Dr, Roanoke, VA 24018-7798 Ph: (712) 253-6104 |
Sarah Alyse Guzinski-homcha, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 | |
Ms. Kathryn Conrad Hoyt, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-725-1226 Fax: 540-857-5306 | |
Casey Lynne Hinchman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 | |
Marlene Flores, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1603 Franklin Rd Sw, Roanoke, VA 24016 Phone: 540-929-1617 | |
Mr. Jason Andrew Peery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-725-1226 Fax: 540-857-5306 | |
Nicole Maalouf Shively, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1622 Westover Ave Sw, Roanoke, VA 24015 Phone: 339-368-1887 | |
Jared Waters, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5673 Airport Rd, Roanoke, VA 24012 Phone: 540-523-8080 |