Individual provider · NPI-1
Lacretia Webb
Home Health Aide · Racine, WI
NPI number1063168946
StatusActive
Last updated in NPPESMar 1, 2022
Details
- NPI
- 1063168946
- Entity type
- Individual (NPI-1)
- Name
- Lacretia Webb
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2022
- Certification date
- Mar 1, 2022
- Last updated
- Mar 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | WI | Yes |
Practice location
732 Park AveRacine, WI 53403-1259
Phone 262-456-0778
Mailing address
732 Park AveRacine, WI 53403-1259
Phone 262-456-0778
Is something wrong?
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