Individual
LACEY RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W10736 COUNTY ROAD WW, NEW LONDON, WI 54961-7409
(715) 752-4135
Mailing address
N3751 STARLIGHT DR, NEW LONDON, WI 54961-8642
(920) 538-4889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WI
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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