MR. James Dylan Lackey, FNP-BC is a family nurse practitioner in Forest Park, GA with 6 years of experience. MR. James Dylan Lackey, FNP-BC NPI is 1205403151. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2018
The provider's business location address is:
4940 GOVERNORS DR STE 209
FOREST PARK, GA
ZIP 30297-186
Phone: (770) 277-1290
Fax: (770) 277-0282
The NPI 1205403151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/9/2021 and was last updated on 6/9/2021.