Search › Oregon › 101Y00000X
Lacey Henneke
NPI 1972272557 · on the registry since 2021
Practice
- Address
- 545 W Umpqua St Ste 1
Roseburg, OR 97471 - Phone
- (541) 957-5646
- Fax
- (541) 957-0191
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2021-09-08
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 Oregon