LACY B IHDE

FOND DU LAC, WI
NPI1265847305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  5864-33)
Enumeration Date2014-06-27
Last Update Date2020-10-21
Business Address
Mrs. LACY B IHDE N.P.C
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-5526
Mailing Address
Mrs. LACY B IHDE N.P.C
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8343
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