Lacey Ashton Miranda, PA is a surgical physician assistant in Gainesville, GA with 6 years of experience. Lacey Ashton Miranda, PA NPI is 1083190698. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1075 JESSE JEWELL PKWY NE STE B
GAINESVILLE, GA
ZIP 30501-814
Phone: (770) 219-9200
Fax: (770) 219-9274
The NPI 1083190698 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/17/2018 and was last updated on 9/24/2018.