Liska H Lackey, FNP
Nurse Practitioner in Chapel Hill, NC. Individual provider (NPI-1).
NPI number1679640809
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1679640809
- Entity type
- Individual (NPI-1)
- Name
- Liska H Lackey
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2006
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0200640 | NC | Yes |
Practice location
590 Manning DrChapel Hill, NC 27599-7596
Phone 919-968-2796 · Fax 888-330-0461
Mailing address
590 Manning DrChapel Hill, NC 27599-7596
Phone 919-968-2796 · Fax 888-330-0461
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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