Individual provider · Type 1 NPI

Lacee Oliver, PA

Medical Physician Assistant · Orange, CA

NPI number 1891331385 Active

Practice location

2592 N Santiago Blvd
Orange, CA 92867-1862

Mailing address

7290 Edinger Ave Unit 4138
Huntington Beach, CA 92647-0957

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA57170 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1891331385

Lacee Oliver, PA's National Provider Identifier is 1891331385, issued on Nov 20, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange, CA. The record was last updated on Nov 20, 2019.