Individual
COURTNEY ERIN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 342-5000
Mailing address
5249 CHEYENNE MOON, CARMEL, IN 46033-8897
(317) 750-8455
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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