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Lacie Wanner
NPI 1699210088 · on the registry since 2016
Practice
- Address
- 5331 Whipporwill Dr.
Holiday, FL 34690 - Phone
- (218) 244-2405
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida