Individual
LACEY AILEEN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
540 W CENTRAL AVE, SPRINGBORO, OH 45066-1110
(937) 550-4511
Mailing address
540 W CENTRAL AVE, SPRINGBORO, OH 45066-1110
(740) 361-5267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN.CNP.022989
OH
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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