Individual
MARISSA CATHERINE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 522-2734
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006183RX
OH
Other
Enumeration date
10/17/2019
Last updated
04/30/2024
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