Individual
LACEY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12910 SHELBYVILLE RD, LOUISVILLE, KY 40243-1593
(502) 244-2420
Mailing address
12910 SHELBYVILLE RD, LOUISVILLE, KY 40243-1593
(502) 244-2420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28229526A
IN
Other
Enumeration date
11/13/2020
Last updated
02/12/2026
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