Lacey Caroline Gardner, PA-C

NPI #1679758254 in Mount Pleasant, Michigan

Provider Information

NPI Number: 1679758254
Entity Type: Individual
Name: Lacey Caroline Gardner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 2, 2008
Last Updated: Feb 27, 2013

Practice Location

Address: 1970 ASHLAND DR
City: Mount Pleasant
State: Michigan
ZIP Code: 48858-1203
Phone: (989) 779-5262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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