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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | James Lackey | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | James | [sources] | |||
| Last name | Lackey | [sources] | |||
| NPI | 1497080717 | [sources] | |||
| Address | 379 Stanaford Rd, Beckley, WV 25801 | [sources] | |||
| Last change | Last processed | First seen | |||
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Medicaid Management Information System | - | - | ||
| Address | ||
|---|---|---|
| Full address | Country | |
| 379 Stanaford Rd, Beckley, WV 25801 | United States | |