Individual
LACEY J SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
66831
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
77290
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2016
Last updated
09/14/2022
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