Individual
TAYLOR LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 720-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15030
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15030
WI
Other
Enumeration date
02/14/2024
Last updated
11/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us