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MR. JON CHARLES LACY PA
PA
Medical Physician Assistant
NPI: 1588907638IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
PA22770(CA)
Education
OTHER
Class of 2012
Contact & Hours
- Address
- 6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028 - Phone
- (323) 469-5555
Quick Facts
- NPI
- 1588907638
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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