Provider Demographics
NPI:1164313789
Name:KALINEN, LACEY MORGAN (PA-C)
Entity type:Individual
Prefix:
First Name:LACEY
Middle Name:MORGAN
Last Name:KALINEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 TRIGO LN
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2723
Mailing Address - Country:US
Mailing Address - Phone:480-612-1976
Mailing Address - Fax:
Practice Address - Street 1:607 TRIGO LN
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2723
Practice Address - Country:US
Practice Address - Phone:480-612-1976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical