Lacey Evelius

NPI #1811453061 in Anoka, Minnesota

Provider Information

NPI Number
1811453061
Entity Type
Individual
Name
Lacey Evelius
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 13, 2019
Last Updated
Feb 13, 2019

Practice Location

Address
400 MINERAL POND CT
City
Anoka
ZIP Code
55303-1049
Phone
(763) 301-0539

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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