MISS Lacey Marie Carls, PA-C

NPI #1114252087 in Ottawa, Illinois

Provider Information

NPI Number: 1114252087
Entity Type: Individual
Name: MISS Lacey Marie Carls, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 12, 2009
Last Updated: Jun 23, 2023

Practice Location

Address: 1306 GEMINI CIR STE 2
City: Ottawa
State: Illinois
ZIP Code: 61350
Phone: (815) 433-0850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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