Individual
LACEY ELIZABETH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
Mailing address
7740 CHADWICK ST, PRAIRIE VILLAGE, KS 66208-3951
(620) 804-1091
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
01/22/2018
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