Lace Heiserman
Case Manager/Care Coordinator in Malone, NY. Individual provider (NPI-1).
NPI number1942008206
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1942008206
- Entity type
- Individual (NPI-1)
- Name
- Lace Heiserman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2025
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
31 6th StMalone, NY 12953-1246
Phone 518-483-3261
Mailing address
1399 State Route 11Brushton, NY 12916-4315
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