Individual
LACY NAOMI HALSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
103 MAIN ST E, WESLEY, IA 50483-7754
(641) 843-5050
(641) 843-5051
Mailing address
103 MAIN ST E, WESLEY, IA 50483-7754
(641) 843-5050
(641) 843-5051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A104476
IA
Other
Enumeration date
08/07/2014
Last updated
08/20/2020
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