Individual
MR. RHETT CHANDLER LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 W FOREVERGREEN RD, NORTH LIBERTY, IA 52317-9848
(319) 356-2233
(319) 356-0533
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
092325
IA
Other
Enumeration date
07/05/2018
Last updated
06/10/2025
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