Lacek, Gregory Alan

Lacek, Gregory Alan is an individual health care provider with primary practice located at 650 Cherry Tree Ln , Uniontown PA 15401-8947. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lacek, Gregory Alan can be contacted via phone (724) 438-4364.

Contact Information

Primary practice address
650 Cherry Tree Ln Uniontown PA 15401-8947
Phone: (724) 438-4364
Fax: (724) 438-4720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA002761L Pennsylvania

Profile Details

NPI number 1730182056
LBN Legal business name Lacek, Gregory Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 17th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730182056 NPPES
Pennsylvania MEDICAID 1032536000003

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