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MARK LACEY, PA C
PA C
Physician Assistant
NPI: 1629151501IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
MA000855L(PA)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
MA000855L(PA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1985
Contact & Hours
- Address
- 1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711 - Phone
- (570) 808-6026
Quick Facts
- NPI
- 1629151501
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 41
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