Individual
YVONNE LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN/LVN
Contact information
Practice address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(619) 451-1205
Mailing address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(619) 451-1205
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
814346
NV
164X00000X
Licensed Vocational Nurse
VN213124
CA
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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