MRS. Lacey Marie Sellati, RN, LICAC, PA-C

NPI #1730327354 in Bolton, Massachusetts

Provider Information

NPI Number: 1730327354
Entity Type: Individual
Name: MRS. Lacey Marie Sellati, RN, LICAC, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: RN, LICAC, PA-C
Enumeration Date: Feb 4, 2009
Last Updated: Jul 7, 2023

Practice Location

Address: 626 MAIN ST
City: Bolton
State: Massachusetts
ZIP Code: 01740-3302
Phone: (978) 610-6247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Integrative Medicine	202D00000X
Physician Assistant	363A00000X
Acupuncturist	171100000X	Primary
Registered Nurse	163W00000X

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