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Lacey Wildeboer, PA
NPI 1477077089 · on the registry since 2017
Practice
- Address
- 400 N Englewood Dr
Kenly, NC 27542 - Phone
- (919) 284-4149
- Fax
- (919) 284-6008
- Organisation at this address
- Johnston Memorial Hospital
Johnston Memorial Hospital AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 7201 Us Highway 64 E, Knightdale, NC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-03
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 North Carolina