MISS LACEY CARLS, PA-C
Physician Assistant
Active
Individual
NPI: 1114252087
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | 085003635 (IL) |
| Physician Assistant | 363A00000X | Yes | 085.003635 (IL) |
Frequently Asked Questions
NPI 1114252087 is the National Provider Identifier for MISS LACEY CARLS, PA-C, a Physician Assistant provider located in Ottawa, IL. This NPI was enumerated on October 12, 2009.
MISS LACEY CARLS, PA-C practices at 1306 GEMINI CIR STE 2, Ottawa, IL 61350.
Quick Facts
- NPI
- 1114252087
- Type
- Individual
- Enumerated
- Oct 12, 2009
- Last Updated
- Jun 23, 2023
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