Provider Demographics
NPI:1548514375
Name:ESSER, LACIE J (PA-C)
Entity type:Individual
Prefix:
First Name:LACIE
Middle Name:J
Last Name:ESSER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5855 E STAPLETON DR N
Mailing Address - Street 2:SUITE A-130
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-3318
Mailing Address - Country:US
Mailing Address - Phone:303-371-7444
Mailing Address - Fax:303-371-7364
Practice Address - Street 1:5855 E STAPLETON DR N
Practice Address - Street 2:SUITE A-130
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-3318
Practice Address - Country:US
Practice Address - Phone:303-371-7444
Practice Address - Fax:303-371-7364
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2016-06-13
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Provider Licenses
StateLicense IDTaxonomies
COPA0003530363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical