JACOB LACEY

WAUSAU, WI
NPI1891524427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
JACOB LACEY CPO
1815 STEWART AVE
WAUSAU, WI 54401-5373
Phone number: 715-849-8703
Mailing Address
JACOB LACEY CPO
1815 STEWART AVE
WAUSAU, WI 54401-5373
Phone number: 715-849-8703