Individual
ABBEY LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1113 N 119TH ST, WAUWATOSA, WI 53226-3303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5948-26
WI
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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