Scott Lacefield, PA-C

NPI #1780910547 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1780910547
Entity Type: Individual
Name: Scott Lacefield, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 28, 2009
Last Updated: Sep 10, 2020

Practice Location

Address: 6641 KANIKSU ST
Address 2: SUITE A
City: Bonners Ferry
State: Idaho
ZIP Code: 83805-7532
Phone: (208) 267-3655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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