Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Lackey Dillon, MD, Inc

Organization Family Medicine Physician · NPI 1396092508

Nicole Lackey Dillon, MD, Inc is a Family Medicine Physician in Logan, West Virginia. Licensed in West Virginia. Registered with an NPI since 2012.

Licensed in
WV
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Hospital Dr Doctors Park Ste D
Logan, WV 25601-3451
Phone: (304) 752-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 21324 (WV)

Record details

NPI number1396092508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Dillon — President · (304) 752-9290
Other names Grayson Family Medicine; Grayson Family Medicine
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 18, 2022
Certification dateAugust 15, 2022
Mailing address77 Hospital Dr Ste D, Logan, WV 25601-3451

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