Individual
LACY LOUDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1515 HOMMEN RD, DEERFIELD, WI 53531-9678
(563) 580-1497
Mailing address
1101 CATALPA CIR, MADISON, WI 53713-2428
(563) 580-1497
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
218269-30
WI
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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