Individual
LACOYE PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6060
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6060
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP016836
PA
Other
Enumeration date
12/16/2016
Last updated
01/30/2021
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