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1043769367
JESSICA LACY
CARLSBAD, CA
NPI
1043769367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 53816)
Enumeration Date
2016-09-27
Last Update Date
2018-07-20
Business Address
JESSICA LACY PA-C
2176 SALK AVE
CARLSBAD, CA 92008
Phone number: 760-901-5100
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Mailing Address
JESSICA LACY PA-C
10790 RANCHO BERNARDO RD # 4S-205
SAN DIEGO, CA 92127-5705
Phone number: 760-901-5100
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