Individual
ASHLEA MICKELLE LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3805 S KANSAS EXPY STE B, SPRINGFIELD, MO 65807-6989
(417) 269-0269
Mailing address
3805 S KANSAS EXPY STE B, SPRINGFIELD, MO 65807-6989
(417) 366-0402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024025449
MO
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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