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

Jeffrey L Lackore, PA

Individual provider Physician Assistant · NPI 1306879192

Jeffrey L Lackore, PA is a Physician Assistant in Roanoke, Virginia. Licensed in California and Virginia. Registered with an NPI since 2006.

Licensed in
CA, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6120 Sandhurst Dr
Roanoke, VA 24018-7798
Phone: (712) 253-6104
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001943 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA20332 (CA)

Record details

NPI number1306879192
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESAugust 24, 2009

Other providers in Roanoke