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Individual

LACEY APPACHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1520 S DOBSON RD STE 206, MESA, AZ 85202-4753
(480) 412-8080
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235223
AZ
363L00000X
Nurse Practitioner
Primary
235223
AZ

Other

Enumeration date
08/14/2024
Last updated
09/12/2025
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