Lacey Gardner, PA-C

Physician Assistant · Paris, TX

Individual Active NPI

NPI number 1790226504

Practice location

865 Deshong Dr
Paris, TX 75460-9313
Phone
(903) 785-4521

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NPI record

NPI
1790226504
Entity type
Individual (Type 1)
Enumeration date
March 13, 2017
Last updated
July 16, 2020
Certified
July 16, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA11191 TX

Mailing address

PO Box 732
Antlers, OK 74523-0732
Phone
(580) 579-3314

About Lacey Gardner

Lacey Gardner, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 865 Deshong Dr, Paris, TX 75460-9313. The NPI number 1790226504 was assigned on March 13, 2017 and the record was last updated on July 16, 2020.

Lacey Gardner lists a license in the registry: #PA11191 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lacey Gardner, PA-C?

The NPI number is 1790226504.

What is the phone number of Lacey Gardner?

The phone number listed for the practice location is (903) 785-4521.

Where is Lacey Gardner located?

865 Deshong Dr, Paris, TX 75460-9313.

What is the taxonomy code for Lacey Gardner?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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