Individual
LACI ANN BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Mailing address
22995 STATE HWY 60, MUSCODA, WI 53573-5592
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
WI
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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