Individual
JOAN MARIE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2969
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1025
—
SC
Enumeration date
08/01/2006
Last updated
03/04/2021
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