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Lacey May Carpenter, PAC
Medical Physician Assistant in Huntington Beach, California
NPI 1639306749

Lacey May Carpenter is a Medical Physician Assistant based in Huntington Beach, CA and is specialized in Medical. Lacey May Carpenter practices in Huntington Beach, CA and has the professional credentials of PAC. The NPI Number for Lacey May Carpenter is 1639306749 and holds a License No. PA60097518 (California).

The current practice location address for Lacey May Carpenter is 17742 Beach Blvd Ste 240, Huntington Beach, CA and can be reached out via phone at 714-842-0444 and via fax at 714-842-8444.

Location: 17742 Beach Blvd Ste 240, Huntington Beach, CA, 92647-6835
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Provider Profile Details
NPI Number
1639306749
Provider Name
Lacey May Carpenter
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
17742 Beach Blvd Ste 240, Huntington Beach, CA, 92647-6835
Phone Number
714-842-0444
Fax Number
714-842-8444
Provider Enumeration Date
06/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2003083 05 WA
500636969 05 OR
institution
Provider Business Practice Location Address Details
Address
17742 Beach Blvd Ste 240
City
State
Zip
92647-6835
Phone Number
714-842-0444
Fax Number
714-842-8444
person
Provider Business Mailing Address Details
Address
17742 Beach Blvd Ste 240
City
State
Zip
92647-6835
Phone Number
714-842-0444
Fax Number
714-842-8444
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60097518 (Washington)
Definition
Definition to come...
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