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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEE MARIE CHILDERS, PA

Active Sole Proprietor

LACEE MARIE CHILDERS, PA is a Medical Physician Assistant healthcare provider located in RIVERSIDE, California. NPI 1073816583 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · RIVERSIDE, CA

Registration Details

NPI Number
1073816583
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2010 (15.728781887998 yrs)
Last Updated
Sep 14, 2013
License
PA21251 (CA)
Sole Proprietor
Yes

Practice Information

Address
4445 MAGNOLIA AVE
RIVERSIDE, CA, 925014135
Browse CA providers · Browse ZIP 92501
Phone
9517883200
Fax
9517883200
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in RIVERSIDE, CA

Name Credential NPI
HECTOR A VERON PA 1649276346
DARYL TADASHI KUBOTSU PA 1558344465
JACQUELINE POWERS-BOWIER PA 1255316261
MRS. ANNAMAE MINARD PA-C 1427019702
PHILLIP E STRUBBE PA 1578510665
CHAD SWEETNAM PA-C 1740213594
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.