Lacey Gorham Mcmanus, PA

NPI #1992038574 in Winnfield, Louisiana

Provider Information

NPI Number: 1992038574
Entity Type: Individual
Name: Lacey Gorham Mcmanus, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 14, 2009
Last Updated: Jun 20, 2024

Practice Location

Address: 431 W LAFAYETTE ST
City: Winnfield
State: Louisiana
ZIP Code: 71483-3463
Phone: (318) 648-0375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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