Individual
LACEY LYNN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 902-1320
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202001089NP-PP
OR
363LF0000X
Family Nurse Practitioner
818088
NV
Other
Enumeration date
01/30/2019
Last updated
09/21/2020
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