Individual
DR. PATRICK JOHN LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1014 MCCLELLAN ST, WAUSAU, WI 54403-5027
(715) 482-6392
Mailing address
1014 MCCLELLAN ST, WAUSAU, WI 54403-5027
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2370057
WI
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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