Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AIDA LACEVIC, M.D.
Active Sole ProprietorPsychiatric Hospital · PHOENIX, AZ
Registration Details
- NPI Number
- 1538273107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2006 (19.690926964795 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33724 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 E INDIAN SCHOOL RDPHOENIX, AZ, 850121839Browse AZ providers · Browse ZIP 85012
- Phone
- 6022222752
- Fax
- 6022222723
- Primary Specialty
-
Psychiatric Hospital
283Q00000X
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.