Individual
REBECCA W. LACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3000
Mailing address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
146172
NC
367A00000X
Advanced Practice Midwife
397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295924793
—
NC
01
—
147VC
BCBS
NC
05
—
7002101
—
NC
Enumeration date
10/19/2007
Last updated
09/06/2024
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