Individual
LACEY MACHEMEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
8911 HILLTOP DR, ST BONIFACIUS, MN 55375-1188
(612) 799-7971
Mailing address
8911 HILLTOP DR, ST BONIFACIUS, MN 55375-1188
(612) 799-7971
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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