Individual
LACI A CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3884 83RD AVE NE, SAINT MICHAEL, ND 58370-9029
(701) 866-4447
Mailing address
3884 83RD AVE NE, SAINT MICHAEL, ND 58370-9029
(701) 866-4447
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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