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LACY IHDE, N.P.C
N.P.C
Nurse Practitioner
NPI: 1265847305IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
5864-33(WI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 420 E DIVISION ST
FOND DU LAC, WI 54935 - Phone
- (920) 926-5526
Quick Facts
- NPI
- 1265847305
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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