Provider Demographics
NPI:1689914426
Name:LAC, NGHI MY (PA-C)
Entity Type:Individual
Prefix:
First Name:NGHI
Middle Name:MY
Last Name:LAC
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1700 S BROAD ST APT 201
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-2340
Mailing Address - Country:US
Mailing Address - Phone:215-685-1800
Mailing Address - Fax:215-683-1815
Practice Address - Street 1:1700 S BROAD ST APT 201
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2340
Practice Address - Country:US
Practice Address - Phone:215-685-1800
Practice Address - Fax:215-683-1815
Is Sole Proprietor?:No
Enumeration Date:2013-02-14
Last Update Date:2024-02-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant