Individual provider · Type 1 NPI

Lacey Manzanares

Medical Physician Assistant · Corona, CA

NPI number 1669145553 Active

About NPI 1669145553

Lacey Manzanares's National Provider Identifier is 1669145553, issued on Jul 27, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Corona, CA. The record was last updated on Jul 15, 2023.