Individual
STEPHANIE LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4016 18TH AVE S, MINNEAPOLIS, MN 55407-3338
(612) 702-4763
Mailing address
4016 18TH AVE S, MINNEAPOLIS, MN 55407-3338
(612) 702-4763
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MN
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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