Individual
JAMIE LOUISE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LC
Contact information
Practice address
8901 AZTEC DR STE B, EDEN PRAIRIE, MN 55347-1916
(678) 509-6455
Mailing address
502 ABBEY WAY, MENDOTA HEIGHTS, MN 55120-1734
(952) 992-9005
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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