Individual
LACEY STOCKTON PFAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 533-6511
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200140
LA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
11/12/2021
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