Individual
LACEY ROVNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(724) 480-6652
Mailing address
201 STATE ST, ERIE, PA 16550-0002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
708282
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN708282
PA RN LICENSE
PA
Enumeration date
11/02/2023
Last updated
11/02/2023
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