Most Relevant Information
Provider Data
| NPI Number: | 1003266677 |
| Provider Name: | LACEY ANN HAUGEN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 123.071190 |
Most Important Dates
| Enumeration Date: | 06/15/2016 |
| Last Updated: | 03/24/2022 |
Provider Practice Location
9500 EUCLID AVE DEPT OF
CLEVELAND
OH
441950001
Practice Location Phone/Fax
| Phone: | 2164444674 |
| Fax: | 2164452536 |
Provider Mailing Location
9500 EUCLID AVE DEPT OF
CLEVELAND
OH
441950001
Provider Mailing Phone/Fax
| Phone: | 2164444674 |
| Fax: | 2164452536 |