LACEY JORGENSEN

PHILADELPHIA, PA
NPI1851272033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA067192)
Enumeration Date2025-09-11
Last Update Date2026-07-03
Business Address
LACEY JORGENSEN
11 S LETITIA ST APT 303
PHILADELPHIA, PA 19106-3010
Phone number: 848-210-6568
Mailing Address
LACEY JORGENSEN
11 S LETITIA ST APT 303
PHILADELPHIA, PA 19106-3010
Phone number: 848-210-6568
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