Wendy Lacey PA-C

NPI 1023138880 - Physician Assistant - 363AS0400X

NPI Details
NPI 1023138880
Gender Female
Enumeration Date 03/29/2007
Last Updated 07/24/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3990 JOHN R ST
DETROIT MI, 48201-2018, US
Phone (313) 745-8040
Fax
Business Location
3990 JOHN R DEPT OF SURGERY
DETROIT MI, 48201, US
Phone (313) 578-2245
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Michigan
License Number 5601004077
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According to our database, Wendy Lacey PA-C NPI is 1023138880, taxonomy code is 363AS0400X and license number is 5601004077, license state is located at Michigan. Wendy Lacey PA-C physically located at 3990 John R St, Detroit MI, 48201-2018. NPI Number Wendy Lacey PA-C has the Individual type.

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1023138880 NPI number is provided on an as is basis without warranty of any kind. 1023138880 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Lacey PA-C are for informational purposes only.