Individual
LACEY JANELLE ALTHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 ALTAIR PKWY STE 4400, WESTERVILLE, OH 43082-7654
(614) 891-4705
(614) 568-8050
Mailing address
400 ALTAIR PKWY STE 4400, WESTERVILLE, OH 43082-7654
(614) 891-4705
(614) 568-8050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.137212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369416
—
OH
Enumeration date
06/17/2013
Last updated
07/11/2024
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