Individual
LACI C CAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3211 W REDDY WAY, BLOOMINGTON, IN 47403-4066
(812) 825-0777
(812) 825-3917
Mailing address
3211 W REDDY WAY, BLOOMINGTON, IN 47403-4066
(812) 825-0777
(812) 825-3917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011324A
IN
Other
Enumeration date
07/15/2021
Last updated
06/16/2026
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