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

LACEE WILKINSON, PA-C

Active

LACEE WILKINSON, PA-C is a Surgical Physician Assistant healthcare provider located in PROVO, Utah. NPI 1164709630 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PROVO, UT

Registration Details

NPI Number
1164709630
Provider Type
Individual
Gender
Female
NPI Issued
Nov 10, 2011 (14.724043276368 yrs)
Last Updated
Jun 19, 2019
Licenses
PA52245 (CA)
PA52245 (CA)
8139778-1206 (UT)

Practice Information

Address
3550 N UNIVERSITY AVE STE 250
PROVO, UT, 84604
Browse UT providers · Browse ZIP 84604
Phone
8013749625
Fax
8013749690
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in PROVO, UT

Name Credential NPI
MR. SCOTT ALAN LANGE PA 1104801315
MR. DAVID WESLEY BROCK PA-C 1205024122
STEPHEN CRUZE PAC 1730318445
MS. JAMI Z MCKELL PA-C 1851625255
DREW KENNER LAMBOURNE PA-C 1184930786
DANIEL CHRISTENSEN PA 1184984320
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.