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

Susan Lackey, PAC

Individual provider Physician Assistant · NPI 1639386931

Susan Lackey, PAC is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3998 Red Lion Rd
Philadelphia, PA 19114-1436
Phone: (215) 612-3186
Fax: (215) 807-8235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA002163L (PA)

Record details

NPI number1639386931
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 8, 2007

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