Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY MARIE MARTIN, PA-C
ActivePhysician Assistant · CASPER, WY
Registration Details
- NPI Number
- 1639887011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2022 (3.4460230442784 yrs)
- Last Updated
- Dec 11, 2024
- Licenses
-
PA1061 (WY)1195040 (GA)
Practice Information
- Address
-
1441 WILKINS CIRCASPER, WY, 826011337Browse WY providers · Browse ZIP 82601
- Phone
- 3072332700
- Fax
- 3074722883
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CASPER, WY
| Name | Credential | NPI |
|---|---|---|
| DANIEL W. FEDORE | PA | 1902899230 |
| JENNIFER LYNN FRARY | PA-C | 1609862580 |
| ANN M HAACK | PA | 1629037130 |
| AARON C SCHILLING | PA | 1548215130 |
| WILLIAM R SHUGHART | PA-C | 1285673962 |
| TIMOTHY CHRISTOPHER GLENNON II | PA | 1447286943 |
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.