Nicole Lackowski, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02093 Issued in TX

Practice address

100 West Dean Keeton
Austin, TX 78712

Phone

(512) 475-6635

Fax

(512) 471-0680

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garth R. Morgan MD PA

  dba University Familiy Medicine

  • Family Medicine Physician
  • College Station, TX
  • NPI 1336186741
  NPD (past)
• University Health Services

  dba Uiversity of Texas at Austin

  • Health Service Clinic/Center
  • Austin, TX
  • NPI 1740313337
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1356448781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7339",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787137339",
            "telephone_number": "512-475-6635",
            "fax_number": "512-471-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST DEAN KEETON",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-475-6635",
            "fax_number": "512-471-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKOWSKI",
        "first_name": "NICOLE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Nicole Labyk, MS, RDN, LDN
• Lacey Gray Therapy & Wellness, LLC
• Joshua Taylor Lackey, MD
• Sativa Lackey, FNP-C
• Taylor Gilliland Lackey, MD
• Luke Laconi, MD
• Kimberly Lacorte, LPC, ATR
• Louise Lacoste, L.AC.
• Caia Lacour
• Eliza Lacour, CRNA

• Medical Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.