person
Latavia Lacefield, MENTALHEALTHTECH
Medical Physician Assistant in East Chicago, Indiana
NPI 1275839870

Latavia Lacefield is a Medical Physician Assistant based in Merrillville, IN and is specialized in Medical. Latavia Lacefield practices in East Chicago, IN and has the professional credentials of MENTALHEALTHTECH. The NPI Number for Latavia Lacefield is 1275839870 and holds a License No. (Indiana).

The current practice location address for Latavia Lacefield is 3903 Indianapolis Blvd, East Chicago, IN and can be reached out via phone at 219-473-1350 and via fax at 219-392-6998.

Location: 3903 Indianapolis Blvd, East Chicago, IN, 46410-6385
person
Provider Profile Details
NPI Number
1275839870
Provider Name
Latavia Lacefield
Credential
MENTALHEALTHTECH
Provider Entity Type
Individual
Gender
Female
Address
3903 Indianapolis Blvd, East Chicago, IN, 46410-6385
Phone Number
219-473-1350
Fax Number
219-392-6998
Provider Enumeration Date
01/31/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3903 Indianapolis Blvd
City
State
Zip
46312-2555
Phone Number
219-473-1350
Fax Number
219-392-6998
person
Provider Business Mailing Address Details
Address
3903 Indianapolis Blvd
City
State
Zip
46312-2555
Phone Number
219-473-1350
Fax Number
219-392-6998
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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