National Provider Identifier Database

JACOB LACEY, CPO – NPI #1891524427
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JACOB LACEY, CPO
1815 STEWART AVE
WAUSAU, WI54401-5373
Phone: 715-849-8703
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for JACOB LACEY

NPI Number 1891524427
Credentials CPO
Entity Individual
Enumeration date 07/31/2024
Last updated 07/31/2024 - More than a year ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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