Individual
LACY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBD, CPD
Contact information
Practice address
19843 US HIGHWAY 41 W, CHAMPION, MI 49814-9519
(906) 458-5678
Mailing address
19843 US HIGHWAY 41 W, CHAMPION, MI 49814-9519
(906) 458-5678
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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