Individual
TAYLOR J LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 HIGHLAND ST FL 3, LACONIA, NH 03246-3235
(603) 527-4500
Mailing address
82 SHEEPWASH DR, CHESTER, NH 03036-4063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
12/30/2024
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