Runyon, Lacey M

Runyon, Lacey M is an individual health care provider with primary practice located at 100 N East Ave , Waukesha WI 53186-3103. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Runyon, Lacey M can be contacted via phone (262) 524-7202.

Contact Information

Primary practice address
100 N East Ave Waukesha WI 53186-3103
Phone: (262) 524-7202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36001401A Indiana

Profile Details

NPI number 1811951700
LBN Legal business name Runyon, Lacey M
Credentials DAT, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers