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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEY LEROUX, MSED

Active

LACEY LEROUX, MSED is a Specialist healthcare provider located in WADDINGTON, New York. NPI 1417212176 is currently active in the NPPES registry. Verify at CMS.

Specialist · WADDINGTON, NY

Registration Details

NPI Number
1417212176
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2012 (14.076107365984 yrs)
Last Updated
Jul 9, 2012
Licenses
554567111 (NY)
554566111 (NY)
514001111 (NY)
445519101 (NY)

Practice Information

Address
10 MAIN STREET
WADDINGTON, NY, 136940249
Browse NY providers · Browse ZIP 13694
Phone
3153887703
Fax
3153884707
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Additional Specialty
Specialist
Additional Specialty
Specialist

Other Specialist Providers in WADDINGTON, NY

Name Credential NPI
CHRISTINE BACKUS TOD 1033474796
JACQUELINE DANIS TVI 1114282878
SALLY PASSAMONTE MST 1588929236
JUNE RUSAW MSED 1760747588
KIMBERLY JONES MSED 1629333448
KAYLENE PERNICE MST 1588929301
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.