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Lacey A Benike

  • Female

Medical Specialty

Professional ID

  • NPI: 1275077158
  • PECOS ID: 1456636414
  • Enrollment ID: I20170315000137
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2014

Medical Practices

  • Organization Name: Fond Du Lac County
  • Group Practice ID assigned by PECOS: 2668376245
  • Number of Group Practice member: 11

Location

  • Address1: 459 E 1st St
  • Address2:
  • City: Fond Du Lac
  • State: Wisconsin
  • Zip Code: 54935
  • Phone Number: (920)929-3500

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):