Scott Lacefield, PA-C

NPI 1780910547 · on the registry since 2009

Practice

Address: 6641 Kaniksu St
Suite A
Bonners Ferry, ID 83805
Phone: (208) 267-3655
Fax: (208) 267-3757
Organisation at this address: Main Street Medical Llc
Ernest A. Lucero, Md Pc
Boundary Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Physician Assistant
Licence states on file: MT, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-09-10

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 Idaho