Individual
EMILY LACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 LANSDOWNE AVE, SUITE 205, DARBY, PA 19023-1333
(610) 534-6270
Mailing address
400 E COUNTRY CLUB LN, WALLINGFORD, PA 19086-6407
(215) 480-9692
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058646
PA
Other
Enumeration date
10/11/2016
Last updated
10/22/2019
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