Individual
LACEY B FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
(269) 273-9611
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
301917
NC
363LF0000X
Family Nurse Practitioner
Primary
4704380313
MI
363LF0000X
Family Nurse Practitioner
A004027
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679998785
—
MI
01
—
MI7819131
MEDICARE
MI
Enumeration date
02/26/2014
Last updated
01/31/2023
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