Individual
LACEY CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
Mailing address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
202008308RN
OR
Other
Enumeration date
08/24/2023
Last updated
09/21/2023
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