Individual
LACEY ERICKSON HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 EMERGER AVE, ALPINE, WY 83128
(307) 733-5577
Mailing address
PO BOX 2832, ALPINE, WY 83128-2608
(801) 725-1335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2134
WY
225100000X
Physical Therapist
7346634-2401
UT
Other
Enumeration date
08/13/2009
Last updated
10/18/2023
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