Individual
LACEY ROTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 COUNTY ROAD 101, MINNETONKA, MN 55345-4214
(952) 401-6864
Mailing address
4212 ZOEBELLA WAY, VICTORIA, MN 55318-2843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
462728
MN
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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