Individual
PAUL ANTHONY LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 S WESTERN AVE, TONASKET, WA 98855-9270
(509) 486-2174
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60222862
WA
207Q00000X
Family Medicine Physician
MR-0981
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0284414
L&I
WA
05
—
1275793804
—
WA
01
—
MR-0981
BOARD OF MEDICINE
ID
Enumeration date
06/17/2008
Last updated
06/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us