Individual
MS. LACEY ANN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
3027 VIKING DR, SIOUX CITY, IA 51104-2823
(605) 670-8290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A134811
IA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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