SearchWisconsin224P00000X

Jacob Lacey, CPO

NPI 1891524427 · on the registry since 2024

Practice

Address
1815 Stewart Ave
Wausau, WI 54401
Phone
(715) 849-8703
Organisation at this address
Walkabout Orthotics & Prosthetics Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
224P00000X
224P00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-31

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 Wisconsin