Individual
MS. LANESHA BRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
38883 HWY 299, WILLOW CREEK, CA 95573
(530) 629-3111
(530) 629-3122
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010412
CA
363LF0000X
Family Nurse Practitioner
AP07155
LA
Other
Enumeration date
02/28/2013
Last updated
06/07/2019
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