NPI 1437360856

Elizabeth Mae Lacey, RESPITEPROVIDER

Practitioner Contractor Glenrock, WY

Practice location

Address: 822 South 2nd Street, Glenrock, WY 82637-1986
Phone: (307) 436-2740
Fax: (307) 436-5350
Mailing address: PO Box 1986, Glenrock, WY 82637-1986

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1437360856
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.