LACEY RAE

Specialist

Active Individual
NPI: 1366996639

Practice Address

120 S BROAD ST
SUITE A
Grove City, PA 16127

Phone: (724) 458-1500

Specialties

Specialty Code Primary License
Specialist 174400000X Yes OC014811 (PA)

Frequently Asked Questions

NPI 1366996639 is the National Provider Identifier for LACEY RAE, a Specialist provider located in Grove City, PA. This NPI was enumerated on August 4, 2016.
LACEY RAE practices at 120 S BROAD ST, SUITE A, Grove City, PA 16127.

Quick Facts

NPI
1366996639
Type
Individual
Enumerated
Aug 4, 2016
Last Updated
Nov 8, 2016

Same Specialty