TAYLOR LACKEY

MENASHA, WI
NPI1083479539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WI  15030)
Enumeration Date2024-02-14
Last Update Date2024-02-14
Business Address
TAYLOR LACKEY
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
Mailing Address
TAYLOR LACKEY
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number:
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