Individual
LACEY T HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Mailing address
2137 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6760
(727) 372-6808
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1744102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3977688349
—
FL
Enumeration date
09/07/2007
Last updated
05/25/2023
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