Individual
MS. STACEY LISA LACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 STANFORD CT, WEST ORANGE, NJ 07052-2024
(908) 718-1497
Mailing address
10 STANFORD CT, WEST ORANGE, NJ 07052-2024
(908) 718-1497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00211500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/21/2006
Last updated
01/05/2022
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