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1730606716
MEGHAN LOUISE LACY
PORTLAND, OR
NPI
1730606716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR 201707003NP-PP)
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
MEGHAN LOUISE LACY PNP
11790 SW BARNES RD, BLG. A, SUITE 140
PORTLAND, OR 97225
Phone number: 503-643-2100
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Mailing Address
MEGHAN LOUISE LACY PNP
3952 CARMAN DR
LAKE OSWEGO, OR 97035-2471
Phone number: 503-853-4430
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