Lacy Korte PA-C

NPI 1770972325 - Physician Assistant - 363A00000X

NPI Details
NPI 1770972325
Gender Female
Enumeration Date 01/21/2015
Last Updated 11/30/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
4260 GLENDALE MILFORD RD
SUITE 201
BLUE ASH OH, 45242-3763, US
Phone (513) 733-8688
Fax (513) 733-8677
Business Location
4260 GLENDALE MILFORD RD
SUITE 201
BLUE ASH OH, 45242-3763, US
Phone (513) 733-8688
Fax (859) 331-4163
Toxanomy
Taxonomy Code 363A00000X
License State Ohio
License Number 50.004201
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According to our database, Lacy Korte PA-C NPI is 1770972325, taxonomy code is 363A00000X and license number is 50.004201, license state is located at Ohio. Lacy Korte PA-C physically located at 4260 Glendale Milford Rd, Blue Ash OH, 45242-3763. NPI Number Lacy Korte PA-C has the Individual type.

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1770972325 NPI number is provided on an as is basis without warranty of any kind. 1770972325 is maintained by the National Plan & Provider Enumeration System. The contents of Lacy Korte PA-C are for informational purposes only.