LACEY UPHAUS

SPRINGFIELD, MO
NPI1851119267
Former NameLACEY SIMPSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2024040275)
Enumeration Date2024-10-03
Last Update Date2024-10-03
Business Address
LACEY UPHAUS FNP
618 N BENTON AVE
SPRINGFIELD, MO 65806-1102
Phone number: 417-831-0150
Mailing Address
LACEY UPHAUS FNP
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
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