National Provider Identifier

Lacey Netti, PA

Lacey Netti, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 272-7000.

NPI 1780402776Ithaca, NYPhysician Assistant

Profile Overview

NPI
1780402776
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 30, 2024
Last Updated
September 30, 2024

Practice Location

  • 16 Brentwood Dr
  • Ithaca, NY 14850-1863

Phone: (607) 272-7000

Mailing Address

  • 21 N Fulton St
  • Auburn, NY 13021-2703

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1780402776
Entity Type
Individual
Last Name
Netti
First Name
Lacey
Credential
PA
Mailing Street Address
21 N Fulton St
Mailing City
Auburn
Mailing State
NY
Mailing ZIP Code
13021-2703
Mailing Country
US
Practice Street Address
16 Brentwood Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1863
Practice Country
US
Practice Phone
(607) 272-7000
Enumeration Date
September 30, 2024
Last Updated
September 30, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)