Lace Heiserman

NPI #1942008206 in Malone, New York

Provider Information

NPI Number: 1942008206
Entity Type: Individual
Name: Lace Heiserman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 4, 2025
Last Updated: Mar 4, 2025

Practice Location

Address: 31 6TH ST
City: Malone
State: New York
ZIP Code: 12953-1246
Phone: (518) 483-3261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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