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1306088265 NPI number — LACEY LYN SCHAFER NP-BC

NPI Number: 1306088265
Health Care Provider/Practitioner: LACEY LYN SCHAFER NP-BC

Information about “1306088265” NPI (LACEY LYN SCHAFER NP-BC) exists in 1306088265 in HTML format HTML  |  1306088265 in plain Text format TXT  |  1306088265 in PDF (Portable Document Format) PDF  |  1306088265 in an XML format XML  formats.

NPI Number : 1306088265 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306088265",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHAFER",
    "FirstName": "LACEY",
    "MiddleName": "LYN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "310 19TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOND DU LAC",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54935-6253",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-238-9915",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "W9071 FOREST DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLYMOUTH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53073",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-526-9206",
    "PracticeLocationAddressFaxNumber": "920-526-3819",
    "EnumerationDate": "03/24/2009",
    "LastUpdateDate": "03/24/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "3692-33",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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