Individual
DENISE J LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 ROCK SPRINGS DR, APT 1205, LAS VEGAS, NV 89128-3140
(702) 513-8376
Mailing address
2300 ROCK SPRINGS DR, APT 1205, LAS VEGAS, NV 89128-3140
(702) 513-8376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN50140
NV
163WH0200X
Home Health Registered Nurse
RN50140
NV
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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