Individual provider · Type 1 NPI

Andrea Lynne Lacki, PA-C

Surgical Physician Assistant · Altoona, PA

NPI number 1215057799 Active

Practice location

3000 Fairway Dr
Altoona, PA 16602-4472

Call (814) 962-1166 Map

Mailing address

614 N Terrace Dr
Altoona, PA 16602-2965

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XC0003589 (MD)
Physician Assistant 363A00000X0110002349 (VA)
Surgical Physician Assistant Primary 363AS0400XMA053507 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1215057799

Andrea Lynne Lacki, PA-C's National Provider Identifier is 1215057799, issued on Mar 30, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Altoona, PA. The record was last updated on May 6, 2010.