LACEY R CONYER

CHARLOTTESVILLE, VA
NPI1437615853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110010847)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA12571)
363A00000X Physician Assistant
(Licence: MN  13472)
Enumeration Date2019-02-11
Last Update Date2025-08-11
Business Address
LACEY R CONYER PA
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-1761
Mailing Address
LACEY R CONYER PA
PO BOX 749112
ATLANTA, GA 30374-9112
Phone number: 434-295-1000