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Individual
LACY MICHELLE KUSY
Active
Individual
LACY MICHELLE KUSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNPC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1180980
AL
363L00000X
Nurse Practitioner
Primary
ARNP 9264855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017042500
—
FL
Enumeration date
03/30/2016
Last updated
06/14/2021
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