LACEY KRUSE

SPRINGFIELD, IL
NPI1366670382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  125-055766)
Enumeration Date2009-06-29
Last Update Date2013-05-23
Business Address
-- LACEY KRUSE MD
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-3821
Mailing Address
-- LACEY KRUSE MD
PO BOX 19656
SPRINGFIELD, IL 62794-9656
Phone number: 217-545-8853
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