| Doctor Name: | LACEY MCGRATH |
| NPI Number: | 1033549282 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A121520 |
| Business Practice Address: | 2055 Kimball Ave Suite 340 Waterloo, IA - 507025014 |
| Business Phone Number: | 3192722774 |
| Business Fax Number: | 3192721363 |
| Mailing Address: | 923 Ash Dr, NEW HAMPTON |
| State: | IA |
| Postal Code: | 506591074 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/24/2013 |
| NPI Last Update Date: | 11/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A121520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |