Individual
MRS. LACEY NICOLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17360 BEAUJOLAIS CIR, EAGLE RIVER, AK 99577-7513
(515) 639-5272
Mailing address
17360 BEAUJOLAIS CIR, EAGLE RIVER, AK 99577-7513
(515) 639-5272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
107817
AK
164W00000X
Licensed Practical Nurse
P55775
IA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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