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

Justin Trevor Lackey, MD

Individual provider Emergency Medicine Physician · NPI 1497333512

Justin Trevor Lackey, MD is an Emergency Medicine Physician in Winston Salem, North Carolina. Works from 2 locations. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Medical Center Blvd
Winston Salem, NC 27157-3465
Phone: (336) 716-7246
Fax: (336) 716-8773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 N Elm St, High Point, NC 27262-4331 — (336) 878-6000

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 317799 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0101281117 (VA)

Record details

NPI number1497333512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

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