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Individual
LACEY BOEHMER
Active
Individual
LACEY BOEHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
11409200-3400
UT
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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