Lacey A. Langerak PAC
Surgical Physician Assistant in Bemidji, MN(View on Map)
Full Name
Lacey Ann Langerak PAC
NPI Number
1811987118
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/27/2005
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
11187
Contact
Information
Purpose
Mailing
Location
Address
1300 ANNE ST NW
1300 ANNE ST NW
City
Bemidji
Bemidji
State
MN
MN
Postal Code
56601-5103
56601-5103
Country
US
US
Telephone Number
(218) 751-9746
(218) 751-9746
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/10/2019
Provider Address
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