James Lackey

Debarred entity

United States. Named in 3 sanctions listings.

Sanctions and listings3

Effective
19 Jan 2024
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
9 Nov 2023
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
Surrender License to BOM
wvmmis.com
Effective
19 Jan 2024
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
medicaid.dhss.delaware.gov

Positions held1

Period not retained
PA

Identifiers1

Identifier	Number
NPI number	1497080717

Other names2

Also known as2

James M. LackeyJames Michael Lackey

Addresses2

Out of State, Out of State
379 Stanaford Rd, Beckley, WV 25801

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