Individual provider · Type 1 NPI
Lacey Jo Raiche, FNP
Family Nurse Practitioner · Menomonie, WI
NPI number
1679834857
Active
Practice location
3603 Schneider Avenue
Menomonie, WI 54751-5674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R207746-8 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 162013-30 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679834857
Lacey Jo Raiche, FNP's National Provider Identifier is 1679834857, issued on Jun 4, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Menomonie, WI. The record was last updated on Mar 31, 2021.