Individual
LACEY LYNN HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 MAPLE AVE, KEENE, NH 03431-1629
(678) 577-3228
Mailing address
63 MAPLE AVE, KEENE, NH 03431-1629
(678) 577-3228
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1065
NH
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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