Elizabeth Mae Lacey, RESPITE PROVIDER

NPI #1437360856 in Glenrock, Wyoming

Provider Information

NPI Number: 1437360856
Entity Type: Individual
Name: Elizabeth Mae Lacey, RESPITE PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: RESPITE PROVIDER
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 822 SOUTH 2ND STREET
City: Glenrock
State: Wyoming
ZIP Code: 82637-1986
Phone: (307) 436-2740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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