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Lacey Rae
Specialist in Grove City, Pennsylvania
NPI 1366996639

Lacey Rae is a Specialist based in Grove City, PA. Lacey Rae practices in Grove City, PA. The NPI Number for Lacey Rae is 1366996639 and holds a License No. OC014811 (Pennsylvania).

The current practice location address for Lacey Rae is 120 S Broad St, Grove City, PA and can be reached out via phone at 724-458-1500 and via fax at 724-458-1501.

Location: 120 S Broad St, Grove City, PA, 16127-1544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366996639
Provider Name
Lacey Rae
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 S Broad St, Grove City, PA, 16127-1544
Phone Number
724-458-1500
Fax Number
724-458-1501
Provider Enumeration Date
08/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 S Broad St
City
Grove City
State
Pennsylvania
Zip
16127-1544
Phone Number
724-458-1500
Fax Number
724-458-1501
person
Provider Business Mailing Address Details
Address
120 S Broad St
City
Grove City
State
Pennsylvania
Zip
16127-1544
Phone Number
724-458-1500
Fax Number
724-458-1501
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OC014811 (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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