Individual
LACEY POLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 W TECH RD STE 220, MIAMISBURG, OH 45342-0956
(937) 885-4475
Mailing address
105 SYCAMORE SPRINGS DR, SPRINGBORO, OH 45066-9569
(937) 239-7256
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0028287
OH
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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