Individual
KELSEY LACROIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, MS11102M, SAINT PAUL, MN 55101
(651) 254-4887
Mailing address
3300 OAKDALE AVE N # 200, MINNEAPOLIS, MN 55422-2926
(763) 581-5479
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2124
MN
Other
Enumeration date
07/19/2014
Last updated
05/16/2018
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