Individual
COMFORT O LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2222 E STATE ST STE 209, ROCKFORD, IL 61104-1572
(815) 988-8500
(815) 977-5956
Mailing address
2222 E STATE ST STE 209, ROCKFORD, IL 61104-1572
(815) 988-8500
(815) 977-5956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209018397
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209018397
IL
363LP2300X
Primary Care Nurse Practitioner
209018397
IL
Other
Enumeration date
10/19/2018
Last updated
02/03/2025
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