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1235775453
HEATHER LACY
LAKEWOOD RANCH, FL
NPI
1235775453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA112700)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
HEATHER LACY PA
6310 HEALTH PARK WAY STE 200
LAKEWOOD RANCH, FL 34202-5177
Phone number: 941-907-4737
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Mailing Address
HEATHER LACY PA
4371 VERONICA S SHOEMAKER BLVD
FORT MYERS, FL 33916-2216
Phone number: 239-274-8200
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