Individual
ASHLEY LUCAS LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
Mailing address
68 S SERVICE RD, STE 350, MELVILLE, NY 11747-2354
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171079
VA
367500000X
Certified Registered Nurse Anesthetist
R199825
MD
Other
Enumeration date
03/23/2012
Last updated
03/26/2015
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