Individual
LACEY B SANTA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
24980 STATE ST, ELBERTA, AL 36530-2573
(251) 986-7301
(251) 986-5927
Mailing address
PO BOX 519, ELBERTA, AL 36530-0519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-182581
AL
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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