Individual
LACEY E QUALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
30 HOULTON ST, PATTEN, ME 04765
(207) 528-2285
(207) 528-2880
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 528-2285
(207) 528-2880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R054193
ME
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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