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Individual
MS. LACY SMITH
Active
Individual
MS. LACY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
13-127040-052
KS
363LF0000X
Family Nurse Practitioner
216289
OK
363LF0000X
Family Nurse Practitioner
53-78893
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
216289
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-78893
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201236440A
—
OK
05
—
201291660A
—
KS
Enumeration date
07/24/2019
Last updated
07/26/2026
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