Individual
LACEY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 E BROOMFIELD ST, MT PLEASANT, MI 48858-4491
(989) 817-7915
(989) 423-0630
Mailing address
9612 E OLIVE RD, WHEELER, MI 48662-9745
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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