Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Lacey, CPO

Individual provider Prosthetist · NPI 1891524427

Jacob Lacey, CPO is a Prosthetist in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

1815 Stewart Ave
Wausau, WI 54401-5373
Phone: (715) 849-8703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X (WI)

Record details

NPI number1891524427
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

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