Female

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)

Code

363AS0400X
363A00000X

Primary Taxonomy

Yes
No

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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