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Lacey L Jandrin, PA-C
Physician Assistant in Green Bay, Wisconsin
NPI 1104183516

Lacey L Jandrin is a Physician Assistant based in Green Bay, WI. Lacey L Jandrin practices in Green Bay, WI and has the professional credentials of PA-C. The NPI Number for Lacey L Jandrin is 1104183516 and holds a License No. 4712 (Wisconsin).

The current practice location address for Lacey L Jandrin is 1970 S Ridge Rd, Green Bay, WI and can be reached out via phone at 920-430-4888 and via fax at 920-430-4889.

Location: 1970 S Ridge Rd, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104183516
Provider Name
Lacey L Jandrin
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1970 S Ridge Rd, Green Bay, WI, 54305-2487
Phone Number
920-430-4888
Fax Number
920-430-4889
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1135070 01 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
institution
Provider Business Practice Location Address Details
Address
1970 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-4125
Phone Number
920-430-4888
Fax Number
920-430-4889
person
Provider Business Mailing Address Details
Address
1970 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-4125
Phone Number
920-430-4888
Fax Number
920-430-4889
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
-
Taxonomy
225X00000X
License No.
1135070 (Wisconsin)
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
4712 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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