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Mitchell Lacerda

NPI 1922767003 · on the registry since 2021

Practice

Address
2004 Old Arch Rd
Norristown, PA 19401
Phone
(610) 277-0380
Organisation at this address
Ivy Jj Opco Llc
Ivory Wellness Center Llc
The Rehabilitation Group Of Pennsylvania, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-15

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 Pennsylvania