Individual
BARBARA ELIZABETH LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
141 WINDSWEPT RD, TUNKHANNOCK, PA 18657-6614
(570) 881-9540
Mailing address
141 WINDSWEPT RD, TUNKHANNOCK, PA 18657-6614
(570) 881-9540
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN299789L
PA
163WP2201X
Ambulatory Care Registered Nurse
RN299789L
PA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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