Individual
LACEY A NICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
818 N 8TH ST, CHARITON, IA 50049-1336
(641) 203-9538
Mailing address
818 N 8TH ST, CHARITON, IA 50049-1336
(641) 203-9538
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-129518
IA
Other
Enumeration date
04/27/2011
Last updated
01/31/2023
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