Individual
LACEY JOANNE SCHWANEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 DEWEY ST STE 1, WISCONSIN RAPIDS, WI 54494-4714
(715) 421-4500
(715) 421-4509
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11154-33
WI
363LF0000X
Family Nurse Practitioner
11154-33
WI
Other
Enumeration date
08/12/2021
Last updated
07/27/2023
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