Individual
CANDACE E. LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7373 W. JEFFERSON AVE, LAKEWOOD, CO 80235-2020
(303) 988-5252
(303) 988-5632
Mailing address
7373 W. JEFFERSON AVE, LAKEWOOD, CO 80235-2020
(303) 988-5252
(303) 988-5632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
531
CO
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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