Individual
LACEY MORGAN KALINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1811
(480) 612-1976
Mailing address
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1811
(480) 612-1976
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
08/15/2025
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