Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roy Jareth Lackey, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962169011

Roy Jareth Lackey, PA-C is a Student in an Organized Health Care Education/Training Program in San Diego, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962169011
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

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