Search › Georgia › 363AS0400X
Lacey Ante, PA-C
NPI 1720681091 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1371 Church Street Ext Ne Ste 200
Marietta, GA 30060 - Phone
- (678) 344-8900
- Organisation at this address
- Marietta Advanced Surgery Center
Advanced Urology Institute Of Georgia
Laboratory Corporation Of America Holdings
Wellstar Kennestone Pediatric Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363AS0400X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-22
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 Georgia