Individual
LACEY GROEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
501 E COTTONWOOD ST, SPRINGFIELD, MN 56087-2601
(507) 227-9088
Mailing address
501 E COTTONWOOD ST, SPRINGFIELD, MN 56087-2601
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2321240
MN
363L00000X
Nurse Practitioner
Primary
7428
MN
Other
Enumeration date
04/23/2020
Last updated
07/09/2020
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