ALICE M LACY

WICHITA, KS
NPI1871562132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-00244)
Enumeration Date2006-03-17
Last Update Date2007-07-08
Business Address
-- ALICE M LACY P.A.
550 N HILLSIDE ST
WICHITA, KS 67214-4910
Phone number: 316-962-3355
Mailing Address
-- ALICE M LACY P.A.
PO BOX 47490
WICHITA, KS 67201-7490
Phone number: 316-962-3150
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