MRS. Lacy B Ihde, N.P.C
NPI #1265847305 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1265847305
- Entity Type
- Individual
- Name
- MRS. Lacy B Ihde, N.P.C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- N.P.C
- Enumeration Date
- Jun 27, 2014
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 420 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4560
- Phone
- (920) 926-5526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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