Individual
LACEY TIMPERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 MILITARY ST, PORT HURON, MI 48060-5912
(810) 937-6651
Mailing address
1404 WATER ST, PORT HURON, MI 48060-4213
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704314508
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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