# DR. LACIE MARIE GERHARDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407832512
- **Gender:** F
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4483 | MN | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001J9 | HSM ELECT | MN |
| 01 | — | 350003002 | MEDICARE RAIL ROAD | MN |
| 01 | — | 663405 | CHIROCARE | MN |
| 05 | — | 706160900 | — | MN |
| 01 | — | 774S0MO | BCBS | MN |