NPI | 1083323216 |
---|---|
Doing Business As | LACEY HEDGES OD LLC |
Entity Type | Organization |
Authorized Contact | LACEY HEDGES Owner 316-323-4805 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2022-11-16 |
Last Update Date | 2022-11-16 |