SearchWisconsinPhysician Assistant

Lacey Jandrin, PA-C

NPI 1104183516 · on the registry since 2012

Practice

Address
1970 S Ridge Rd
Green Bay, WI 54304
Phone
(920) 430-4888
Fax
(920) 430-4889
Organisation at this address
Bellin Psychiatric Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Additional practice sites

  • 1160 Kepler Dr, Green Bay, WI
  • 820 Arbutus Ave, Oconto, WI
  • 3415 Custer St Ste D, Manitowoc, WI
  • 2820 Roosevelt Rd, Marinette, WI

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Occupational Therapist
Physician Assistant
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin