Individual
LACEY ANN AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4005 OLEANDER DR, WILMINGTON, NC 28403-6816
(910) 790-9949
(910) 790-9455
Mailing address
4005 OLEANDER DR, WILMINGTON, NC 28403-6816
(910) 790-9949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005583
NC
Other
Enumeration date
03/30/2012
Last updated
02/03/2022
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