NPI

Lacey Erickson Haas

NPI 1053543843

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2009-08-13
Last updated
2023-10-18

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Specialties

Licenses

License UT
7346634-2401
License WY
2134

Location

Practice location
94 Emerger Ave
City
Alpine WY
Postal code
83128
Phone
(307) 733-5577

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Alpine, WY. 21 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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