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Individual
KATIE ANN LACY
Active
Individual
KATIE ANN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP023491
OH
363LF0000X
Family Nurse Practitioner
F07181075
OH
363LP2300X
Primary Care Nurse Practitioner
CNP.023491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRNCNP023491
OHIO LICENSE
OH
Enumeration date
09/04/2018
Last updated
09/21/2022
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