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Individual

MRS. ANN M. LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
345 E. VIRGINIA AVENUE, PHOENIX, AZ 85004-1202
(602) 258-5545
(602) 252-6115
Mailing address
345 E. VIRGINIA AVENUE, PHOENIX, AZ 85004-1202
(602) 258-5545
(602) 252-6115

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4345
AZ

Other

Enumeration date
05/03/2012
Last updated
08/08/2019
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