Individual
LACEY SCHUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 ANDERSON AVE, MANHATTAN, KS 66503-7588
(785) 587-4101
(785) 587-9090
Mailing address
4101 ANDERSON AVE, MANHATTAN, KS 66503-7588
(785) 587-4101
(785) 587-9090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-76477-022
KS
363LF0000X
Family Nurse Practitioner
Primary
76477
KS
363LP2300X
Primary Care Nurse Practitioner
76477
KS
Other
Enumeration date
08/14/2014
Last updated
01/23/2024
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