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1295795466
GERALD F. LACEY
WILKES BARRE, PA
NPI
1295795466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA001757L)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
Mr. GERALD F. LACEY PA-C
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-820-6020
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Mailing Address
Mr. GERALD F. LACEY PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-3034
Phone number: 570-271-6144
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