Individual
LACY NAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 S 108TH ST, MILWAUKEE, WI 53228-2505
(414) 383-4486
(414) 235-3453
Mailing address
4420 S 108TH ST, MILWAUKEE, WI 53228-2505
(414) 383-4486
(414) 235-3453
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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