Individual
TRISHA MARIE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2619
CO
363A00000X
Physician Assistant
51600
CA
363A00000X
Physician Assistant
Primary
PA225046
OR
Other
Enumeration date
08/05/2008
Last updated
09/04/2025
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