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Search › Minnesota › 101YP2500X

Ethan Lacey

NPI 1881302479 · on the registry since 2022

Practice

Address
900 Long Lake Rd Ste 320
New Brighton, MN 55112
Phone
(651) 482-9361
Fax
(651) 482-9888
Organisation at this address
Kim Surve Llc
Cara Anam, Inc.
Jovi Counseling Llc
Betsy Ahlers Lmft Llc
Clarus Dermatology Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
65

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-09

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 Minnesota