Lacey Manzanares
Lacey Manzanares is a Medical Physician Assistant in Corona, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
308 W 6th St Ste 101Corona, CA 92882-3349
Phone: (951) 737-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1669145553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2021 |
| Last updated in NPPES | July 15, 2023 |
| Certification date | July 15, 2023 |
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