Individual
MISS LACEY N HOVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
127 S SPRUCE ST, BURLINGTON, WA 98233-1712
(360) 421-0812
Mailing address
127 S SPRUCE ST, BURLINGTON, WA 98233-1712
(360) 421-0812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024743
WA
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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