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Individual

LACEY L ZANZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3817 S SPRINGFIELD AVE STE 120, BOLIVAR, MO 65613-9129
(417) 422-4769
Mailing address
3817 S SPRINGFIELD AVE STE 120, BOLIVAR, MO 65613-9129
(417) 422-4769

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020029262
MO

Other

Enumeration date
09/06/2020
Last updated
12/04/2020
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