Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS LACEY MARIE CARLS, PA-C
ActiveMISS LACEY MARIE CARLS, PA-C is a Physician Assistant healthcare provider located in OTTAWA, Illinois. NPI 1114252087 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OTTAWA, IL
Registration Details
- NPI Number
- 1114252087
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2009 (16.824306985689 yrs)
- Last Updated
- Jun 23, 2023
- Licenses
-
085003635 (IL)085.003635 (IL)
Practice Information
- Address
-
1306 GEMINI CIR STE 2OTTAWA, IL, 61350Browse IL providers · Browse ZIP 61350
- Phone
- 8154330850
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OTTAWA, IL
| Name | Credential | NPI |
|---|---|---|
| STACY L PURCELL | P.A. | 1952309981 |
| CARRIE LYNN LOPEZ | PA | 1336215938 |
| COLLIN SHANLEY MCLEAN | PA-C | 1952006934 |
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.