Individual
KAREN ANN LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CENTRAL ST, HUNTINGTON, NY 11743-2680
(631) 421-5885
(631) 427-6421
Mailing address
13 CENTRAL ST, HUNTINGTON, NY 11743-2680
(631) 421-5885
(631) 427-6427
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302647
NY
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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