Individual
TANESHIA LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1209 GLEN MOHR CT, TOWNSEND, DE 19734-2888
(302) 463-9883
Mailing address
1209 GLEN MOHR CT, TOWNSEND, DE 19734-2888
(302) 463-9883
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
L1-0036975
DE
163WI0500X
Infusion Therapy Registered Nurse
L1-0036975
DE
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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