Individual
KELSEY A LAGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS PA-C
Contact information
Practice address
26 STATION CIR, HAZLETON, PA 18202-9726
(570) 501-6800
(570) 497-4046
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(570) 790-2391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063510
PA
Other
Enumeration date
06/14/2022
Last updated
07/15/2024
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