Individual
LACEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
(620) 694-2128
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
(620) 694-2128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
115569
OK
363LF0000X
Family Nurse Practitioner
Primary
5376461022
KS
Other
Enumeration date
01/15/2015
Last updated
11/29/2022
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