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Lacey Manzanares
Medical Physician Assistant in Corona, California
NPI 1669145553

Lacey Manzanares is a Medical Physician Assistant based in Norco, CA and is specialized in Medical. Lacey Manzanares practices in Corona, CA. The NPI Number for Lacey Manzanares is 1669145553 and holds a License No. (California).

The current practice location address for Lacey Manzanares is 308 W 6Th St Ste 101, Corona, CA and can be reached out via phone at 951-737-0910.

Location: 308 W 6Th St Ste 101, Corona, CA, 92860-8003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669145553
Provider Name
Lacey Manzanares
Credential
Provider Entity Type
Individual
Gender
Female
Address
308 W 6Th St Ste 101, Corona, CA, 92860-8003
Phone Number
951-737-0910
Fax Number
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
308 W 6Th St Ste 101
City
Corona
State
California
Zip
92882-3349
Phone Number
951-737-0910
Fax Number
person
Provider Business Mailing Address Details
Address
308 W 6Th St Ste 101
City
Corona
State
California
Zip
92882-3349
Phone Number
951-737-0910
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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