LACEY MICHELLE HARVEY

FORT WAYNE, IN
NPI1295207488
Former NameLACEY MICHELLE LOPEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002642A)
Enumeration Date2018-12-28
Last Update Date2019-08-26
Business Address
LACEY MICHELLE HARVEY PA-C
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650
Mailing Address
LACEY MICHELLE HARVEY PA-C
PO BOX 670
HUNTERTOWN, IN 46748-0670
Phone number: 260-748-3650
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