Lacee Marie Childers, PA
NPI #1073816583 in Riverside, California
Provider Information
- NPI Number
- 1073816583
- Entity Type
- Individual
- Name
- Lacee Marie Childers, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Dec 6, 2010
- Last Updated
- Sep 14, 2013
Practice Location
- Address
- 4445 MAGNOLIA AVE
- City
- Riverside
- State
- California
- ZIP Code
- 92501-4135
- Phone
- (951) 788-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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