Individual
LACEY NICOLE PULLEY
Active
Individual
LACEY NICOLE PULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
10002070A
IN
363AM0700X
Medical Physician Assistant
Primary
10002070A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018306
—
IN
Enumeration date
11/04/2016
Last updated
10/14/2025
Update your record
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