Individual
DR. LACEE N CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
34 24TH ST W, WILLISTON, ND 58801-6271
(701) 774-5036
(701) 774-5037
Mailing address
34 24TH ST W, WILLISTON, ND 58801-6271
(701) 774-5036
(701) 774-5037
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
898
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841591799
BLUE CROSS BLUE SHIELD
ND
Enumeration date
11/09/2010
Last updated
06/28/2016
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