Individual
STEFANIE K LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
103 W 18TH ST, HOPKINSVILLE, KY 42240-1960
(270) 885-1640
(270) 889-0628
Mailing address
103 W 18TH ST, HOPKINSVILLE, KY 42240-1960
(270) 885-1640
(270) 889-0628
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3007302
KY
Other
Enumeration date
01/20/2012
Last updated
02/19/2016
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