| NPI | 1750556304 |
|---|---|
| Former Name | LACEY M LABARGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60461290) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 81750) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 246639) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2014-07-25 |