LACEY DARLENE LAKE FOREMAN

IRWIN, PA
NPI1922510635
Former NameLACEY DARLENE LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP018060)
Enumeration Date2017-11-03
Last Update Date2017-11-03
Business Address
LACEY DARLENE LAKE FOREMAN CRNP
3520 ROUTE 130 BLDG 3
IRWIN, PA 15642-1438
Phone number: 724-744-1408
Mailing Address
LACEY DARLENE LAKE FOREMAN CRNP
117 EDINBORO DR
GREENSBURG, PA 15601
Phone number: 724-875-7632
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