Individual
LACEY LEANN TAKHTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
701 TECH CENTER DR, GAHANNA, OH 43230-3940
(614) 396-2684
(614) 396-2480
Mailing address
701 TECH CENTER DR STE 250, GAHANNA, OH 43230-3941
(614) 396-2684
(614) 396-2480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0032631
OH
363LF0000X
Family Nurse Practitioner
232202
AZ
363LF0000X
Family Nurse Practitioner
APRN.CNP.0032631
OH
Other
Enumeration date
11/04/2019
Last updated
05/04/2026
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