| NPI | 1437390416 |
|---|---|
| Former Name | LACEY ANN MILLET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.203896) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208D00000X General Practice (Licence: LA MD203896) | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2016-07-11 |