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

Mallory Lake McCoy, PA-C

Individual provider Physician Assistant · NPI 1699149906

Mallory Lake McCoy, PA-C is a Physician Assistant in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4601 Lake Boone Trl Ste 1B
Raleigh, NC 27607-7503
Phone: (919) 781-1800
Fax: (919) 781-1899
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06072 (NC)

Record details

NPI number1699149906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 24, 2015
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

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